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Scientists jump-start two people’s brains after coma

‘Stunning to see with your own eyes,’ says UCLA neuroscientist Martin MontiCredit: Ivy Reynolds In 2016, a team led by

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In 2016, a team led by UCLA’s Martin Monti reported that a 25-year-old man recovering from a coma had made remarkable progress following a treatment to jump-start his brain using ultrasound.

Wired U.K. called the news one of the best things that happened in 2016. At the time, Monti acknowledged that although he was encouraged by the outcome, it was possible the scientists had gotten a little lucky.

Now, Monti and colleagues report that two more patients with severe brain injuries — both had been in what scientists call a long-term “minimally conscious state” — have made impressive progress thanks to the same technique. The results are published online in the journal Brain Stimulation.

“I consider this new result much more significant because these chronic patients were much less likely to recover spontaneously than the acute patient we treated in 2016 — and any recovery typically occurs slowly over several months and more typically years, not over days and weeks, as we show,” said Monti, a UCLA professor of professor of psychology and neurosurgery and co-senior author of the new paper. “It’s very unlikely that our findings are simply due to spontaneous recovery.”

The paper notes that, of three people who received the treatment, one — a 58-year-old man who had been in a car accident five-and-a-half years prior to treatment and was minimally conscious — did not benefit. However, the other two did.

One is a 56-year-old man who had suffered a stroke and had been in a minimally conscious state, unable to communicate, for more than 14 months. After the first of two treatments, he demonstrated, for the first time, the ability to consistently respond to two distinct commands — the ability to drop or grasp a ball, and the ability to look toward separate photographs of two of his relatives when their names were mentioned.

He also could nod or shake his head to indicate “yes” or “no” when asked questions such as “Is X your name?” and “Is Y your wife’s name?”

Small but significant improvement

In the days following the second treatment, he also demonstrated, for the first time since the stroke, the ability to use a pen on paper and to raise a bottle to his mouth, as well as to communicate and answer questions.

“Importantly,” Monti said, “these behaviors are diagnostic markers of emergence from a disorder of consciousness.”

The other patient who improved is a 50-year-old woman who had been in even less of a conscious state for more than two-and-a-half years following cardiac arrest. In the days after the first treatment, she was able, for the first time in years, according to her family, to recognize a pencil, a comb and other objects.

Both patients showed the ability to understand speech.

“What is remarkable is that both exhibited meaningful responses within just a few days of the intervention,” Monti said. “This is what we hoped for, but it is stunning to see it with your own eyes. Seeing two of our three patients who had been in a chronic condition improve very significantly within days of the treatment is an extremely promising result.”

The changes the researchers saw are small, but Monti said even the smallest form of communication means a way to reconnect. One powerful moment during the study was when the wife of the 56-year-old man showed him photos and asked whether he recognized who he saw.

“She said to us, ‘This is the first conversation I had with him since the accident,’” Monti said. “For these patients, the smallest step can be very meaningful — for them and their families. To them it means the world.”

Using acoustic energy

The scientists used a technique called low-intensity focused ultrasound, which uses sonic stimulation to excite the neurons in the thalamus, an egg-shaped structure that serves as the brain’s central hub for processing. After a coma, thalamus function is typically weakened, Monti said.

Doctors use a device about the size of a saucer creates a small sphere of acoustic energy they can aim at different brain regions to excite brain tissue. The researchers placed the device by the side of each patient’s head and activated it 10 times for 30 seconds each in a 10-minute period. Each patient underwent two sessions, one week apart.

Monti hopes to eventually translate the technology into an inexpensive, portable device so the treatment could be delivered not only at state-of-the-art medical centers, but also at patients’ homes, to help “wake up” patients from a minimally conscious or vegetative state.

The treatment appears to be well tolerated; the researchers saw no changes to the patients’ blood pressure, heart rate or blood oxygen levels, and no other adverse events. Monti said the device is safe because it emits only a small amount of energy, less than a conventional Doppler ultrasound.

While the scientists are excited by the results, they emphasize that the technique is still experimental and likely will not be available to the public for at least a few years. For now, there is little that can be done to help patients recover from a severe brain injury that results in either a chronic vegetative state or a minimally conscious state, Monti said.

Monti said his team is planning additional studies to learn exactly how thalamic ultrasound modifies brain function; he hopes to start those clinical trials once the researchers and patients are assured of being safe from COVID-19.

The study’s lead author is Josh Cain, a UCLA graduate student in psychology, and a co-senior author is Caroline Schnakers, a former UCLA researcher who is now assistant director of research at Casa Colina Hospital and Centers for Healthcare in Pomona, California. The work was funded by the Tiny Blue Dot Foundation and the Dana Foundation.

Understanding the terminology

People in a coma appear as if they are under general anesthesia; their eyes are closed, and they do not wake up even if someone tries to rouse them. Some people do eventually recover from a coma and regain significant cognitive function. Others move into a puzzling condition called a vegetative state in which they are awake — that is, their eyes open and close as if they are waking up and falling asleep — but they show no signs of consciousness.

A minimally conscious state is a condition in which people are awake (they wake up and fall asleep periodically) but show subtle signs that they are conscious — for example, the ability to blink their eyes in response to a command.

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The paper notes that, of three people who received the treatment, one — a 58-year-old man who had been in a car accident five-and-a-half years prior to treatment and was minimally conscious — did not benefit. However, the other two did.

Source: https://bioengineer.org/scientists-jump-start-two-peoples-brains-after-coma/

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Bioengineer

Diving into devonian seas: Ancient marine faunas unlock secrets of warming oceans

Credit: Syracuse University Members of Syracuse University’s College of Arts and Sciences are shining new light on an enduring mystery–one

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Members of Syracuse University’s College of Arts and Sciences are shining new light on an enduring mystery–one that is millions of years in the making.

A team of paleontologists led by Professor Cathryn Newton has increased scientists’ understanding of whether Devonian marine faunas, whose fossils are lodged in a unit of bedrock in Central New York known as the Hamilton Group, were stable for millions of years before succumbing to waves of extinctions.

Drawing on 15 years of quantitative analysis with fellow professor Jim Brower (who died in 2018), Newton has continued to probe the structure of these ancient fossil communities, among the most renowned on Earth.

The group’s findings, reported by the Geological Society of America (GSA), provide critical new evidence for the unusual, long-term stability of these Devonian period communities.

Such persistence, Newton says, is a longstanding scientific enigma. She and her colleagues tested the hypothesis that these ancient communities displayed coordinated stasis–a theory that attempts to explain the emergence and disappearance of species across geologic time.

Newton and Brower, along with their student Willis Newman G’93, found that Devonian marine communities vary more in species composition than the theory predicts. Newton points out that they sought not to disprove coordinated stasis but rather to gain a more sophisticated understanding of when it is applicable. “Discovering more about the dynamics of these apparently stable Devonian communities is critical,” she says. “Such knowledge has immediate significance for marine community changes in our rapidly warming seas.”

Since geologist James Hall Jr. first published a series of volumes on the region’s Devonian fossils and strata in the 1840s, the Hamilton Group has become a magnet for research scientists and amateur collectors alike. Today, Central New York is frequently used to test new ideas about large-scale changes in Earth’s organisms and environments.

During Middle Devonian time (approximately 380-390 million years ago), the faunal composition of the region changed little over 4-6 million years. “It’s a significant amount for marine invertebrate communities to remain stable, or ‘locked,’” explains Newton, a professor in the Department of Earth and Environmental Sciences.

She, Brower and student researchers spent years examining eight communities of animals that once dwelled in a warm, shallow sea on the northern rim of the Appalachian Basin (which, eons ago, lay south of the equator). When the organisms died, sediment from the seafloor began covering their shells and exoskeletons. Minerals from the sediment gradually seeped into their remains, causing them to fossilize. The process also preserved many of them in living position, conserving original shell materials at some sites.

These fossils currently populate exposed bedrock throughout Central New York, ranging from soft, dark, deep-water shale to hard, species-rich, shelf siltstone. “Communities near the top of the bedrock exhibit more taxonomic and ecological diversity than those at the bottom,” Newton says. “We can compare the community types and composition through time. They are remarkable sites.”

Coordinated stasis has been a source of contention since 1995, when it was introduced. At the center of the dispute are two model-based explanations: environmental tracking and ecological locking.

Environmental tracking suggests that faunas follow their environment. “Here, periods of relative stasis are flanked by coordinated extinctions or regional disappearances. When the environment changes, so do marine faunas,” says Newton, also Professor of Interdisciplinary Sciences and Dean Emerita of Arts and Sciences.

Ecological locking, in contrast, views marine faunas as tightly structured communities, resistant to large-scale taxonomic change. Traditionally, this model has been used to describe the stability of lower Hamilton faunas.

Newton and her colleagues analyzed more than 80 sample sites, each containing some 300 specimens. Special emphasis was placed on the Cardiff and Pecksport Members, two rock formations in the Finger Lakes region that are part of the ancient Marcellus subgroup, famed for its natural gas reserves.

“We found that lower Hamilton faunas, with two exceptions, do not have clear counterparts among upper ones. Therefore, our quantitative tests do not support the ecological locking model as an explanation for community stability in these faunas,” she continues.

Newton considers this project a final tribute to Newman, a professor of biology at the State University of New York at Cortland, who died in 2014, and Brower, who fell seriously ill while the manuscript was being finalized. “Jim knew that he likely would not live to see its publication,” says Newton, adding that Brower died as the paper was submitted to GSA.

She says this new work extends and, in some ways, completes the team’s earlier research by further analyzing community structures in the Marcellus subgroup. “It has the potential to change how scientists view long-term stability in ecological communities.”

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The group’s findings, reported by the Geological Society of America (GSA), provide critical new evidence for the unusual, long-term stability of these Devonian period communities.

Source: https://bioengineer.org/diving-into-devonian-seas-ancient-marine-faunas-unlock-secrets-of-warming-oceans/

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Pioneering research unravels hidden origins of Eastern Asia’s ‘land of milk and honey’

Credit: Dr Shufeng Li A study has revealed for the first time the ancient origins of one of the world’s

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A study has revealed for the first time the ancient origins of one of the world’s most important ecosystems by unlocking the mechanism which determined the evolution of its mountains and how they shaped the weather there as well as its flora and fauna.

It was previously thought Southern Tibet and the Himalaya were instrumental in turning the once barren land of eastern Asia into lush forests and abundant coastal regions which became home to a rich array of plant, animal and marine life, including some of the world’s rarest species. But new findings, published today in the journal Science Advances, conversely show Northern Tibet played the more influential role in this transformation which began more than 50 million years ago.

Scientists from a UK-China partnership used an innovative climate model to simulate vegetation and plant diversity, combined with spectacular new fossil finds, to discover how this unique biodiversity hotspot evolved.

Lead author, Dr Shufeng Li, a visiting scientist at the University of Bristol in the UK and associate professor at Xishuangbanna Tropical Botanical Garden (XTBG) Institute in Yunnan, China, said: “Until now it was unknown why the climate changed from that of a dry, arid, almost desert-like ecosystem to that of a lush, wet ecosystem where a vast array of plant, animal, and marine life can be found, including some of the world’s rarest species.

“We conducted 18 sensitivity experiments using different Tibetan topographies representing various late Paleogene to early Neogene conditions, which test almost all possible Tibetan growth evolution scenarios.”

The findings showed that from the late Paleogene to the early Neogene age, some 23-40 million years ago, the growth of the north and northeastern portion of Tibet was the most important factor because it increased rainfall, especially winter rainfall, over eastern Asia where dry winter conditions existed before.

This allowed the development of a stable, wet and warm climate, conducive to the evolution of vast and varied plants and animal species which formed the biodiversity hotspot known today for supplying more than a billion people with fresh water and providing ingredients used for lifesaving pharmaceutical drugs. Rare species of monkey, tiger, leopard, bear, fox, mongoose, hedgehog, seal, dolphin, and sea lion all live in this abundant ecosystem.

Earlier research has mainly investigated the impact of Tibetan mountain building much further to the South when India collided with Asia around 55 million years ago, leading to the rise of the Himalaya mountains and, eventually, the vast arid Tibetan Plateau. However, recent work is increasingly showing the creation of the modern Tibetan plateau was complex, and did not rise as one monolithic block as originally believed.

Co-author Professor Paul Valdes, Professor of Physical Geography at the University of Bristol who led the modelling group, said: “Most previous studies have focused on Southern Tibet and the Himalaya, but our results indicate it is the growth of northern Tibet which is really important.

“The topography of northern Tibet decreases the East Asian winter monsoon winds in the southern part of China, causing wetter winters in eastern Asia and this allows the expansion of vegetation and biodiversity.”

So enigmatic was the drastic change that even in Chinese folklore this area is known as the ‘Land of Fish and Rice’, due to its immense productivity.

“Without the growth in Northern Tibetan mountains, none of this would exist. But our research should also be taken as a cautionary tale,” Professor Valdes explained.

“A unique set of tectonic and stable climatic conditions over millions of years allowed the development of this rare species rich region of South East Asia. However, global warming, harmful intensive agricultural techniques, forest clearing and lack of integrated conservation to preserve this unique ecosystem means once it is gone, it is gone for good.”

Professor Zhekun Zhou, of the Chinese Academy of Sciences’ XTBG, who led on the fossil analysis, said: “So effectively, without northern Tibetan growth, there would be no ‘land of milk and honey’ in eastern Asia. This research represents a significant breakthrough in understanding how this remarkably rich region of mountainous terrain and diverse plant life formed.”

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Paper

‘Orographic evolution of northern Tibet shaped vegetation and plant diversity in eastern Asia’ by Shufeng Li et al in Science Advances

Notes to editors:

A selection of images, including captions and credit details, can be found here: Dr Li Shufeng and Professor Paul Valdes are available for interview:

https://drive.google.com/drive/folders/1jS58Q9m2kAzoj1mrrtHhvhRbdWa-CG08?usp=sharing

Lead and corresponding author: Dr Li Shufeng – Xishuangbanna Tropical Botanical Garden (XTGB) Institute, Chinese Academy of Sciences, Yunnan.

Email – XTGB: [email protected] and Bristol: [email protected]

Co-author: Prof. Paul Valdes – University of Bristol, School of Geographical Sciences

Email: [email protected]

Source: https://bioengineer.org/pioneering-research-unravels-hidden-origins-of-eastern-asias-land-of-milk-and-honey/

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Focusing on field analysis

Microscopy systems using customized chips could expand on-site identification of pathogensCredit: Viri et al. The development of cost-efficient, portable microscopy

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Microscopy systems using customized chips could expand on-site identification of pathogens

Credit: Viri et al.

The development of cost-efficient, portable microscopy units would greatly expand their use in remote field locations and in places with fewer resources, potentially leading to easier on-site analysis of contaminants such as E. coli in water sources as well as other practical applications.

Current microscopy systems, like those used to image micro-organisms, are expensive because they are optimized for maximum resolution and minimal deformation of the images the systems produce. But some situations do not require such optimization–for instance, simply detecting the presence of pathogens in water. One potential approach to developing a low-cost portable microscopy system is to use transparent microspheres in combination with affordable low-magnification objective lenses to increase image resolution and sensitivity.

A group of researchers from Ecole Polytechnique Federale de Lausanne (EPFL) in Switzerland published a study on such an assembly composed of barium titanate spheres that are partially embedded in thin polymeric membranes. The result of their work, appearing in SPIE’s new Journal of Optical Microsystems, is a proposed method to fabricate microfluidic chips using the assembly for enhanced detection of bacteria. Such customized chips with fluidic and optical components already integrated have many benefits when combined with portable low-end imagers for analyses at remote sites or in resource-limited regions.

“Cost reduction and portability are of benefit to the proliferation of analytical devices, especially in limited-resource contexts, and the integration of affordable micro-optical elements directly onto microfluidic chips can highly contribute to this,” said Martin Gijs, a professor at EPFL and an author of the published work.

The assembly’s ability to enhance bacteria detection paves the way for other applications friendly to use at remote sites. Additionally, the researchers revealed an opportunity to customize specific functional microfluidic elements. Such integrations could bring to fruition applications such as on-site antibiotic testing.

Given falling costs of the components and fabrication methods, the researchers’ proposed fabrication protocol could be adapted easily for a wide variety of microfluidic chips with integrated optical elements. Considered along with the lower cost of low-end imaging systems, the approach could sharply increase the use of such microscopy systems in low-resource locations for on-site analyses.

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Read the open access paper: Vittorio Viri, Daniel Migliozzi, and Martin A.M. Gijs, “Integration of polymeric membrane/dielectric sphere assemblies in microfluidic chips for enhanced-contrast imaging with low-magnification systems,” J. Opt. Microsys. 1(1), 014001 (2021) doi 10.1117/1.JOM.1.1.014001.

A group of researchers from Ecole Polytechnique Federale de Lausanne (EPFL) in Switzerland published a study on such an assembly composed of barium titanate spheres that are partially embedded in thin polymeric membranes. The result of their work, appearing in SPIE’s new Journal of Optical Microsystems, is a proposed method to fabricate microfluidic chips using the assembly for enhanced detection of bacteria. Such customized chips with fluidic and optical components already integrated have many benefits when combined with portable low-end imagers for analyses at remote sites or in resource-limited regions.

Source: https://bioengineer.org/focusing-on-field-analysis/

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