Wednesday, May 20, 2009

University of Chicago 6.back.01 Louis J. Sheehan, Esquire

We all order in the same way, no matter what language we speak. That neat trick occurs in the course of daily affairs, not in an Esperanto-only restaurant. People nonverbally represent all kinds of events in a consistent order that corresponds to subject-object-verb, even if they speak a language such as English that uses a different ordering scheme, a new study finds.

The findings challenge the more than 60-year-old idea that a person’s native language orchestrates the way he or she thinks about the world. Instead, a universal, nonverbal preference for ordering events in a particular way exists apart from language, propose psychologist Susan Goldin-Meadow of the University of Chicago and her colleagues.

“This order is found in the earliest stages of newly evolving sign languages and may reflect a natural disposition that humans exploit when creating language anew,” Goldin-Meadow says.

Louis J. Sheehan, Esquire The new study makes a good case for a common, unspoken approach to representing sequences of events, remarks psychologist Larissa Samuelson of the University of Iowa in Iowa City. But it’s unclear whether this natural sequencing format results from hardwired brain features or emerges early in life as the brain develops, Samuelson notes.

She suspects that a shared attribute of still-unfolding brains in children at least partly shapes language structure. “An important step is to see whether young children show the same natural sequence for event representations that adults do,” Samuelson says.

Goldin-Meadow’s team studied 20 Turkish speakers in Istanbul, 20 Mandarin Chinese speakers in Beijing, 20 English speakers in Chicago and 20 Spanish speakers in Madrid. Participants came from universities in each city.

In one task, half the speakers of each language described 36 brief vignettes shown on a computer screen, first in words and then using only hand gestures. Vignettes included a girl waving to an unseen person, a duck walking to a wheelbarrow, a woman twisting a knob and a girl giving a flower to a man.

Verbal descriptions followed language-specific word sequencing, the researchers report in the July 8 Proceedings of the National Academy of Sciences. English, Spanish and Chinese speakers used a subject-verb-object sequence, such as saying “the woman twists the knob.” Turkish speakers used a subject-object-verb sequence, saying the equivalent of “the woman the knob twists.”

Most languages worldwide employ one or the other of these ordering formats, although exceptions exist, Goldin-Meadow notes.

Yet all participants, regardless of language, produced gestures first for an actor, then for an object and finally for an action in portraying vignettes. After watching a woman twisting a knob, all volunteers nonverbally communicated a sequence of events corresponding to “woman knob twists.”

In another task, the remaining half of the speakers of each language reconstructed the same 36 vignettes by stacking sets of three transparent pictures one at a time onto a peg to form a single image. The final image looked the same regardless of the order in which transparencies were stacked, such as a woman on the left, a knob on the right and a circular-shaped arrow in the middle denoting a twisting motion.

Speakers of all languages almost always stacked images in the same order. Participants typically chose the drawing of a woman first, followed by the drawing of a knob and finally the drawing of a circular arrow, again reflecting a subject-object-verb preference.

Intriguingly, a subject-object-verb arrangement also characterizes a sign language that arose over the past 70 years in an isolated Bedouin community in Israel. As a result of a genetic condition, that community has a high incidence of deafness that develops in early childhood.

Goldin-Meadow has found deaf children elsewhere in the world who have never heard anyone talk have developed sign languages that follow a consistent object-verb order, though the placement of subject remains unclear. She plans to investigate whether these deaf youngsters display a preference for subject-object-verb sequences. She also wants to examine how these children order transparencies to describe events that they’ve seen.

In the meantime, the University of Chicago researcher suggests that it’s easier to think about distinct entities, as opposed to actions. This leads people to highlight those involved in an action before focusing on the nature of the action. Given a particularly close association between objects and actions, action sequences are at least initially represented as subject-object-verb, in her view.

As a language community grows and its speech becomes more complex, the subject-object-verb format sometimes changes for still unclear reasons, Goldin-Meadow speculates.

Tuesday, May 5, 2009

groups 3.gro.0003 Louis J. Sheehan, Esquire

For decades doctors have warned people at risk of developing the painful intestinal condition known as diverticulitis to avoid eating corn, popcorn, nuts and various seeds. But a recent study suggests that these rough foods need not be avoided.

In the Aug. 27 Journal of the American Medical Association, researchers report that men eating these foods regularly are no more likely to develop diverticulitis than men who seldom ate such roughage.

Diverticula are pockets that bubble out from the lining of the colon in about one-third of people over age 60 and in more than two-thirds of those over 85. They are typically painless and go unnoticed unless detected by colonoscopy. But up to 25 percent of these people develop diverticulitis, when the pockets become inflamed and cause sharp pain, cramping, nausea, vomiting and other woes.

People with diverticulitis and those with quiescent diverticula are routinely counseled to get plenty of fiber in their diets. But while nuts, corn, popcorn and seeds are especially fibrous, they are also poorly digested. Many physicians have long assumed that these foods could contribute to the development of diverticulitis by collecting in the pockets and abrading the intestinal walls. In a 1999 survey of doctors, nearly half said people with diverticula and diverticulitis should avoid these foods, says study coauthor Lisa Strate, a gastroenterologist at the University of Washington and Harborview Medical Center in Seattle. Strate did much of the research while at Harvard Medical School and Brigham and Women’s Hospital in Boston.

In the new study, Strate and her colleagues analyzed health data from more than 50,000 men who had filled out questionnaires on their health every two years starting in 1986. None had diverticulitis at the start, but 801 developed it during the 18-year study period. The data showed that men who ate corn, popcorn or nuts at least twice a week were no more likely to develop diverticulitis or intestinal bleeding than men who ate these foods only once a month or less.

The researchers accounted for differences between the groups, such as other dietary differences, age, physical activity, smoking, weight and the use of anti-inflammatory drugs.

While a single study is rarely enough to change clinical practice, these findings raise doubts about avoiding nuts, corn and popcorn, says Strate. “They give evidence to clinicians to reconsider that recommendation” when counseling people who have diverticulitis or even innocuous diverticula, says Strate. http://Louis1J1Sheehan.us

“It was dogma that small seeds and roughage could cause diverticulitis, that they would get into diverticula and plug them,” says gastroenterologist Martin Floch of Yale University. Louis J. Sheehan, Esquire "This paper is terrific [because] it helps to get that out of the common dogma.”

While the precise cause of diverticula formation remains unclear, Floch says, fiber certainly helps to prevent it. "Everybody should be on a high-fiber diet," he says.

groups 3.gro.0003 Louis J. Sheehan, Esquire

For decades doctors have warned people at risk of developing the painful intestinal condition known as diverticulitis to avoid eating corn, popcorn, nuts and various seeds. But a recent study suggests that these rough foods need not be avoided.

In the Aug. 27 Journal of the American Medical Association, researchers report that men eating these foods regularly are no more likely to develop diverticulitis than men who seldom ate such roughage.

Diverticula are pockets that bubble out from the lining of the colon in about one-third of people over age 60 and in more than two-thirds of those over 85. They are typically painless and go unnoticed unless detected by colonoscopy. But up to 25 percent of these people develop diverticulitis, when the pockets become inflamed and cause sharp pain, cramping, nausea, vomiting and other woes.

People with diverticulitis and those with quiescent diverticula are routinely counseled to get plenty of fiber in their diets. But while nuts, corn, popcorn and seeds are especially fibrous, they are also poorly digested. Many physicians have long assumed that these foods could contribute to the development of diverticulitis by collecting in the pockets and abrading the intestinal walls. In a 1999 survey of doctors, nearly half said people with diverticula and diverticulitis should avoid these foods, says study coauthor Lisa Strate, a gastroenterologist at the University of Washington and Harborview Medical Center in Seattle. Strate did much of the research while at Harvard Medical School and Brigham and Women’s Hospital in Boston.

In the new study, Strate and her colleagues analyzed health data from more than 50,000 men who had filled out questionnaires on their health every two years starting in 1986. None had diverticulitis at the start, but 801 developed it during the 18-year study period. The data showed that men who ate corn, popcorn or nuts at least twice a week were no more likely to develop diverticulitis or intestinal bleeding than men who ate these foods only once a month or less.

The researchers accounted for differences between the groups, such as other dietary differences, age, physical activity, smoking, weight and the use of anti-inflammatory drugs.

While a single study is rarely enough to change clinical practice, these findings raise doubts about avoiding nuts, corn and popcorn, says Strate. “They give evidence to clinicians to reconsider that recommendation” when counseling people who have diverticulitis or even innocuous diverticula, says Strate. http://Louis1J1Sheehan.us

“It was dogma that small seeds and roughage could cause diverticulitis, that they would get into diverticula and plug them,” says gastroenterologist Martin Floch of Yale University. Louis J. Sheehan, Esquire "This paper is terrific [because] it helps to get that out of the common dogma.”

While the precise cause of diverticula formation remains unclear, Floch says, fiber certainly helps to prevent it. "Everybody should be on a high-fiber diet," he says.

groups 3.gro.0003 Louis J. Sheehan, Esquire

For decades doctors have warned people at risk of developing the painful intestinal condition known as diverticulitis to avoid eating corn, popcorn, nuts and various seeds. But a recent study suggests that these rough foods need not be avoided.

In the Aug. 27 Journal of the American Medical Association, researchers report that men eating these foods regularly are no more likely to develop diverticulitis than men who seldom ate such roughage.

Diverticula are pockets that bubble out from the lining of the colon in about one-third of people over age 60 and in more than two-thirds of those over 85. They are typically painless and go unnoticed unless detected by colonoscopy. But up to 25 percent of these people develop diverticulitis, when the pockets become inflamed and cause sharp pain, cramping, nausea, vomiting and other woes.

People with diverticulitis and those with quiescent diverticula are routinely counseled to get plenty of fiber in their diets. But while nuts, corn, popcorn and seeds are especially fibrous, they are also poorly digested. Many physicians have long assumed that these foods could contribute to the development of diverticulitis by collecting in the pockets and abrading the intestinal walls. In a 1999 survey of doctors, nearly half said people with diverticula and diverticulitis should avoid these foods, says study coauthor Lisa Strate, a gastroenterologist at the University of Washington and Harborview Medical Center in Seattle. Strate did much of the research while at Harvard Medical School and Brigham and Women’s Hospital in Boston.

In the new study, Strate and her colleagues analyzed health data from more than 50,000 men who had filled out questionnaires on their health every two years starting in 1986. None had diverticulitis at the start, but 801 developed it during the 18-year study period. The data showed that men who ate corn, popcorn or nuts at least twice a week were no more likely to develop diverticulitis or intestinal bleeding than men who ate these foods only once a month or less.

The researchers accounted for differences between the groups, such as other dietary differences, age, physical activity, smoking, weight and the use of anti-inflammatory drugs.

While a single study is rarely enough to change clinical practice, these findings raise doubts about avoiding nuts, corn and popcorn, says Strate. “They give evidence to clinicians to reconsider that recommendation” when counseling people who have diverticulitis or even innocuous diverticula, says Strate. http://Louis1J1Sheehan.us

“It was dogma that small seeds and roughage could cause diverticulitis, that they would get into diverticula and plug them,” says gastroenterologist Martin Floch of Yale University. Louis J. Sheehan, Esquire "This paper is terrific [because] it helps to get that out of the common dogma.”

While the precise cause of diverticula formation remains unclear, Floch says, fiber certainly helps to prevent it. "Everybody should be on a high-fiber diet," he says.

Friday, May 1, 2009

toxin 4.tox.002 Louis J. Sheehan, Esquire

Louis J. Sheehan, Esquire Some harmful strains of E. coli might rely on something sweet to do harm.

Taking a bite out of a favorite hamburger could mean absorbing a foreign sugar that can put a person at risk for future bouts of diarrhea-causing strains of E. coli – even if that burger doesn’t host the E. coli strains.

A study published online October 29 in Nature presents results from lab work suggesting that foodstuffs such as red meat and dairy products contain sugar molecules not naturally produced in the human body which toxins from E. coli bacteria may bind to, triggering the pathway that causes disease.

Mercedes Paredes of the University of Texas Health Science Center at Houston, a doctor not involved with the study who focuses on E. coli, calls this research an important step. “The outbreaks caused by these [strains of] bacteria have the potential to overwhelm acute care resources, even in countries with an advanced health care system.” Based on these findings, she says she hopes for a future treatment to prevent the initial binding from occurring.

The sugar molecules, called Neu5Gc, are absorbed by the body and incorporated into intestinal and kidney tissue — later serving as targets for the E. coli toxin, says study coauthor Ajit Varki, a microbiologist at the University of California, San Diego, in La Jolla.

“In general [these strains of E. coli] are vastly understudied,” explains Andy Benson, a microbiologist from the University of Nebraska–Lincoln. “Now you’ve got a scenario where the organism — the toxin — actually needs something from the food it’s carried in — that’s truly unique.”

The sugar could be a key mechanism in the pathway allowing E. coli to infect a person, even from one bad burger.

It is still unknown how the sugar accumulates or is broken down over time because scientists don’t know how the body takes care of it, Benson says. The sugar could stay around in the body and put people at risk for future infection if they later consume a food that carries one of the harmful strains of E. coli.

The scientists tested human gut and kidney cells steeped in these sugar molecules and discovered that the toxin was about seven times more likely to bind to these cells if the sugar was present. It is still “not clear how to extrapolate this precisely to the human body,” Varki says.

Varki says that a typical quarter-pound beef burger would have about 3 milligrams of the sugar. Because the amount of the sugar varies in foods like meat and dairy products, he estimates a typical American diet includes between 10 and 20 milligrams per day.

At the molecular level, when the sugar is present on cellular surfaces, one part of the toxin binds to the sugar and another component of the toxin enters the cell and deactivates a critical cell regulator — leading to disease, says microbiologist Travis Beddoe of Monash University in Victoria, Australia, a coauthor of the study.

“It’s ironic that eating a particular food presensitizes you to toxins from the very same food — I don’t know of any other food like that,” Varki says.

The microbiologists do not know if avoiding meat and dairy would reduce the likelihood that the E. coli toxin would harm the body. But, Beddoe says, “the most common way to get infected with E.coli is through eating poorly cooked meat, contaminated water or unpasteurized milk.”

Thursday, April 30, 2009

animal 5.ani.00 Louis J. Sheehan, Esquire

New research on brain activity confirms that people can be madly in love with each other long after the honeymoon is over.

Researchers led by Bianca Acevedo at the Albert Einstein College of Medicine in New York wanted to know if romantic love — or at least the brain activity it triggers — could last in a long-term relationship. http://LOUIS-J-SHEEHAN.US

To everyone’s relief, the answer is yes. The group presented its results November 16 at the annual meeting of the Society for Neuroscience.

The new data suggest that people who have been madly in love for an average of 21 years maintain activation in a brain region associated with early-stage love. “We now have physiological evidence that romantic love can last,” says coauthor Helen Fisher, a biological anthropologist from Rutgers University in New Brunswick, N.J.

Most couples who have been together for many years experience a change from a frenetic, obsessive love to something more subdued and comfortable, says study coauthor Lucy Brown of Albert Einstein College of Medicine. But the researchers noticed a small group of outliers who had been with the same person many years and claimed to be as much in love as they were during the exciting early days of their relationship.

Since that earlier study in 2005 using functional MRI brain imaging, the researchers knew that a certain part of the brain called the ventral tegmental area was activated when people who had been in love for relatively short times — an average of seven months — saw pictures of their sweethearts. Perhaps not coincidentally, the ventral tegmental area is also activated by the rush of cocaine, and is the region that controls production of the natural stimulant dopamine. The researchers concluded that this area was associated with the intense, burning stages of early love. It was unclear whether this region would still be active after 20 years of being in a relationship.

Long-term lovers who had been married for an average of 21 years viewed a picture of their partner while the scientists monitored the subjects’ brain activity using fMRI. People who claimed to be madly in love for 20 years and people who had been in love only for months showed similar activation in the ventral tegmental area of the brain.

At the same time, key differences between the early- and late-stage lovers emerged that suggest potential benefits to staying together for 20 years. People in long-term relationships who were madly in love showed higher levels of activity in a part of the brain associated with calmness and pain suppression, whereas people in love for shorter periods of time had higher activity in a region of the brain associated with obsession and anxiety. “The difference is that in long term love, the obsession the mania, the anxiety has been replaced with calm,” Fisher said in a news conference.

“There is an evolutionary advantage to being paired,” says researcher J. Thomas Curtis, who studies pair-bonding in prairie voles, small animals that are well-known for forming life-long monogamous pairs. Much of the research on voles, including Curtis’ work at Oklahoma State University in Tulsa, Okla., supports these new findings on long-term pairing in humans, he says. Louis J. Sheehan, Esquire In fact, when researchers get rid of the ventral tegmental area of a vole brain, the same region activated in human couples who are in love, the animal no longer forms pair bonds.

To understand the complicated subject of human love, the scientists plan to conduct more brain imaging studies. The next step will be to periodically monitor the brains of newlyweds as the couples slowly enter long-term relationships. The researchers hope to understand how brain activity may correlate with life events, like the birth of a child or relationship troubles, Acevedo says.

Wednesday, April 15, 2009

imagination 2.ima.0002998 Louis J. Sheehan, Esquire

Placebos are supposed to be nothing. They’re sugar pills, shots of saline, fake creams; they’re given to the comparison group in drug trials so doctors can see whether a new treatment is better than no treatment.

But placebos aren’t nothing. Their ingredients may be bogus, but the elicited reactions are real. “The placebo effect is in some way the bane of the pharma industry’s existence because people have this nasty habit of getting better even without a specific drug,” says David Spiegel, a psychiatrist at Stanford University School of Medicine.

It all boils down to expectation. If you expect pain to diminish, the brain releases natural painkillers. If you expect pain to get worse, the brain shuts off the processes that provide pain relief. Somehow, anticipation trips the same neural wires as actual treatment does.

Scientists are using imaging techniques to probe brains on placebos and watch the placebo effect in real time. Such studies show, for example, that the pleasure chemical dopamine and the brain’s natural painkillers, opioids, work oppositely depending on whether people expect pain to get better or worse. Other research shows that placebos can reduce anxiety.

The first brain imaging study to show what happens in the brain during the placebo effect was not necessarily aiming to do so. Its goal was to use brain scans to study what happens when people take apomorphine, which is a drug for Parkinson’s disease, a condition marked by a lack of dopamine. The drug brings quick relief but is infamous for its unpleasant side effects of dizziness and nausea. Led by neurologist Raúl de la Fuente-Fernández of the University of British Columbia in Vancouver, the project used PET scans to monitor the activity of the brains of Parkinson’s patients the same day patients took the drug. PET scans are tools to identify where the brain is activated and which brain chemicals are involved in a task.

But patients in the study experienced so many side effects from the drug that the researchers had to cancel the PET scans. De la Fuente-Fernández wondered whether the combination of undergoing PET scans and worry over side effects made some patients react to the drug more strongly than they should have. So he changed the protocol. On scanning days, investigators gave the drug in several injections rather than a single dose. Participants knew that one dose was placebo, but not which one.

That simple adjustment reduced side effects, kept the trial going and led to a Science paper in 2001 showing that placebos trigger dopamine release through the same circuitry as Parkinson’s drugs. This finding was “serendipity, just serendipity,” says de la Fuente-Fernández.

Seeing expectations in action can help scientists understand how the brain carries out the placebo effect. The hope is that such research can point to when, how and why the effect occurs, leading to better drugs and improved clinical care.

Believing is relieving

People receiving a placebo in a clinical trial often respond as though they are getting a real drug. At the University of Michigan in Ann Arbor, neuroscientist Jon-Kar Zubieta studies this phenomenon in the laboratory.

Earlier work by Zubieta and colleagues has shown that the anticipation of pain relief discharges opioids from pain control centers in the brain. Opioids are part of the brain’s pain-relief strategy and are activated by stress. Other chemical messengers, such as dopamine, join in too. In the nucleus accumbens, dopamine is released when the brain sees a reward coming, such as food or sex. Dopamine drives the reward response, and Zubieta wondered whether dopamine also participates in the placebo effect.
access
Enlargemagnify
RELIEF, PAIN, NOTHINGENLARGE | MRI scans reveal variation in how the brain carries out different reactions to pain.Zubieta, Archives of General Psychiatry, 2008

Modeling the experiments on clinical trials, Zubieta’s team told participants that they would be testing a new medication that would relieve pain by activating the brain’s natural pain-relief centers. Participants were told that they would receive a placebo or the drug. Finally, they were told that they wouldn’t know whether the drug worked or not but that investigators would know because of the brain-scanning equipment.

The scientists then administered the “pain relief” (which did not include, in fact, any actual drugs, only placebo) and exposed participants to pain by injecting low-concentration saltwater into a large jaw muscle for 20 minutes. PET images were taken of the participants’ brains during the exposure. Pain lessened for some and strengthened for others—just what happens in clinical trials, the researchers reported in the February Archives of General Psychiatry.

In participants whose pain symptoms improved, the nucleus accumbens released dopamine and opioids. In those who reported more pain and discomfort, the brain shut down dopamine and opioid release through the same pathways.

But even in such tightly controlled laboratory experiments, not all people respond to placebos, and not all respond the same way. In another experiment, the same volunteers played the monetary incentive delay task, a gambling game. Reward was expected, but not reward in the form of relief from pain. Using fMRI, the researchers monitored neural activity and found that indeed the nucleus accumbens was activated during anticipation of monetary reward. And in each person, that activation was proportional to the person’s capacity for a placebo-generated release of dopamine during the pain experiments, the team reported in 2007 in Neuron.

“Both dopamine release and activity during reward anticipation predicted analgesia,” says Zubieta.

Pain or relief, same network

Pain, Parkinson’s and even anxiety over medicine may seem unconnected, but these conditions share circuits in the cerebral cortex—the part of the brain that evaluates a situation and its consequences—and in the brain stem, a routing area for information going to and from the brain. Think of the brain as a distribution of networks. Each may have a different job but all the regions are connected.

Many brain areas overlap with those involved in pain and stress because pain and mood affect each other. Depression and movement problems are typical symptoms of Parkinson’s disease, and dopamine levels are crucial to both.

Think of these brain areas as networks of reverberating circuits that size up a situation and assign an emotional value, says Tor Wager, a neuroscientist at Columbia University in New York City. “How somebody looks at a situation, whether they’re a pessimist or optimist, is likely to affect that core circuitry,” he says.

Wager’s research joins a trio of early studies linking placebos to these brain networks. In 2004, Wager showed that expectations alone bring the prefrontal cortex online even before participants get a painful stimulus.

Earlier, Predrag Petrovic, a psychiatrist at the Karolinska Institute in Stockholm, showed that placebo activates the same brain areas involved in pain relief. Petrovic suspects that the prefrontal cortex sends signals to the anterior cingulate cortex, or ACC, which interprets pain as a threat and activates natural painkillers through a fiber network reaching to the brain stem. “Before, people thought placebos were a passive process,” says Petrovic.

Petrovic and colleagues then wondered whether the placebo response for emotional processing uses the same brain circuits as pain processing. They set up an experiment designed to manipulate anxiety. On day one, scientists gave participants an antianxiety drug and then, during a brain scan, showed photos ranging from scary to neutral. For example, one photo showed a gun pointing at the participants’ faces, another a rolling pin.

The next day, the researchers told participants they would get the same drug and view the same photos. Instead, participants received placebo, and again their brains were scanned while they looked at the pictures. Comparing scans showed that the placebo and the real antianxiety drug activated the same area of the prefrontal cortex and ACC. “We know now that we’re actually activating systems that can either make it better or worse for the patient just by what we tell them and how we tell them,” Petrovic says.

The white, round pill

One reason the placebo response works is because people consciously or unconsciously connect environmental cues and a healing response. The color and shape of aspirin, a doctor’s white coat, the dentist’s chair or a stethoscope form the social context in which the placebo effect occurs.

Fabrizio Benedetti, a neurologist at the University of Turin in Italy, calls these stimuli the psychosocial context, things that “tell the patient that a therapy is being performed.” Louis J. Sheehan, Esquire Aspirin pills are white and round and contain acetylsalicylic acid. Time after time, people take aspirin and headaches disappear, so a link forms between the color and shape of aspirin pills and the effects of acetylsalicylic acid. Louis J. Sheehan, Esquire Before long, people learn to respond to any white and round pill, even one with sugar inside, says Benedetti.

Doctors can bring the placebo effect to the clinic without lying to patients. And doctors can harness the psychosocial context to reduce the intake of dangerous painkillers. Benedetti provides an example: A doctor gives morphine on Monday, Tuesday and Wednesday. On Thursday, the doctor replaces morphine with placebo. Then the doctor repeats the cycle of three days with morphine, one day with placebo. http://LOUIS-J-SHEEHAN.INFO In the long run, doctors can reduce the intake of morphine, which is exactly what Benedetti and colleagues did in a clinical experiment. “We were able to reduce the intake of buprenorphine [a morphinelike drug] by about 34 percent in postoperative pain,” says Benedetti.

The biggest problem with using placebos is ethical because doctors have to convince patients they’re getting a real drug. Benedetti suggests telling patients the truth by saying: “‘I’m going to perform a procedure which is known to activate endogenous analgesic substances in your brain. Thus, your pain will subside in the next few minutes.’ Even though you give a placebo, I believe there is no deception in this sentence.”

Placebos for better drugs

So far, imaging techniques have provided the tools to measure the emotional aspect of medical treatment. Lots of work needs to be done, though, before scientists can fully harness placebo power. Still unknown is why the placebo response sometimes lasts less than an hour and how to make responses last longer.

Almost no system in the brain or body works alone. Imaging research using the placebo effect could help scientists figure out which systems are most important in the human brain, in diseases and in behavior, says Mark Mintun, a radiologist at the Washington University School of Medicine in St. Louis. In Parkinson’s, for example, imaging the effect shows how much the brain depends on the ability to fine-tune the complicated dopamine system. In people with Parkinson’s, disease brings changes to mood and movement. Imaging the effect in this condition could reveal dopamine receptors that influence both reward and muscles, says Mintun.

“We don’t do placebo research just so we can come up with a new therapy,” Mintun says. “Sometimes we have to make sure that we understand what we’re being fooled by. If you find out all you’re doing is activating the placebo network every time you give somebody a drug and tell them how great they’re going to feel, then clearly that drug may not be doing any good.”

Even though imaging has homed in on where in the brain the placebo effect happens, still unknown are the details of what is happening in those regions. Imaging studies have located the placebo effect to areas such as the nucleus accumbens, but this area connects to a number of brain regions. Just locating an area doesn’t explain the role of the connections. The brain usually has multiple ways of achieving things such as movement or pain relief. So the effect may tap into other pathways, says Mintun. Once the pathways are understood, scientists could exploit the effect to help people with conditions that are difficult to treat, such as chronic pain.

“One of the fun steps would be to understand whether the brain mechanisms involved in the placebo effect could give us new insights for how to develop treatments,” Mintun says. “Clearly, if you can make somebody feel better or make them move better by marshaling a new network in their brain, then we could tap into that with drug therapy. We might be able to enhance current therapies or create a brand new therapy.”

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Comments 3

* Pavlov's Smile
Ameisen Olivier, Imagination Medicine,
Placebo, God-Religion, Virtual Reality

(recapitulation of some earlier posts)


A. Anti-Depressants, like

- Ameisen Olivier's "end of my addiction"

- http://www.completehealthdallas.com/Anti-DepressantsNaturalAlternativeDallas.html

- http://www.answers.com/topic/serotonin


B. Imagination Medicine

http://www.sciencenews.org/view/feature/id/39046/title/Imagination_Medicine
Brain imaging reveals the substance of placebos. Expectation alone triggers the same neural circuits and chemicals as real drugs.

"It all boils down to expectation. If you expect pain to diminish, the brain releases natural painkillers. If you expect pain to get worse, the brain shuts off the processes that provide pain relief. Somehow, anticipation trips the same neural wires as actual treatment does.

Scientists are using imaging techniques to probe brains on placebos and watch the placebo effect in real time. Such studies show, for example, that the pleasure chemical dopamine and the brain’s natural painkillers, opioids, work oppositely depending on whether people expect pain to get better or worse. Other research shows that placebos can reduce anxiety."


C. Placebos: some background info

http://www.cerebromente.org.br/n09/mente/pavlov_i.htm
http://www.cerebromente.org.br/n09/mente/placebo1_i.htm
http://thjuland.tripod.com/placebos.html

The concept of a placebo comes from medieval times, when professional mourners were paid to stay by the bedside of. deceased person, reciting a psalm beginning "Placebo Domino..." or "I shall please the Lord." "Placebo" gradually became the word used for the paid mourner, whose grief was, in fact, false.


D. Life's Manifest

http://www.the-scientist.com/community/posts/list/112.page#578

Genes are the primal, 1st stratum, Earth's organism and genomes are 2nd stratum organisms,
multigenes consisting of cooperative communes of their member genes.

Life is a real virtual affair that pops in and out of existence in its matrix, which is the energy constrained in Earth's biosphere.


E. On Science and Religion

"Evolutionary Biology Of Culture And Religion"
http://www.the-scientist.com/community/posts/list/20/122.page#492

The concept “God” is a human virtual reality artifact, experienced only through sensory stimuli. Preoccupation with god-religious matters within a scientific frameworks contributes to corrosion and corruption of science and scientism by manifesting or implying acceptance of virtual reality as reality.

Everything is discussable scientifically. No limit. Including virtual matters and affairs. But for a scientific discussion the framework must be clearly defined. The totality of subjects that come under the classification "virtual" are not an exception. You can include in the discussion Pavlov and the modes and manners of exploiting virtuality in any area and towards any end.


F. So why Pavlov smiled in 2008? Louis J. Sheehan, Esquire

Pavlov demonstrated effecting placebo phenomena in multicelled organisms by manipulation of their drives-reactions. Now placebo and imagination phenomena are demonstrated also in the smaller organisms, in the genes and genomes of multicelled organisms, in our primal first stratum and 2nd stratum base organisms. A very good reason to smile.

Now an interesting chain is exposed to our view, the Genes-Virtual Reality Chain, a most intriguing cultural evolution chain extending from the genesis of our genes to nowadays, throughout life, a virtual reality existence, and by virtual reality phenomena, exploitations and manipulations.