Wish I were as clever as a child, would have won me so many fights
Three Goblin Art
noise dept.
KIROKAZE
DEAR READER

shark vs the universe
I'd rather be in outer space 🛸
Xuebing Du

ellievsbear

★

Kiana Khansmith

Product Placement
tumblr dot com
One Nice Bug Per Day
Claire Keane

Love Begins

⁂

JVL
PUT YOUR BEARD IN MY MOUTH

Origami Around
NASA

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@susielee92
Wish I were as clever as a child, would have won me so many fights
Is Alzheimer’s Disease a Disorder of Energy Metabolism? New Study Shines New Light
Belmont, MA - A team of investigators from McLean Hospital and Harvard Medical School, led by Kai C. Sonntag, MD, PhD, and Bruce M. Cohen, MD, PhD, has found a connection between disrupted energy production and the development of late-onset Alzheimer’s disease (LOAD). The findings appear in the current issue of Scientific Reports.
“These findings have several implications for understanding and developing potential therapeutic intervention in LOAD,” explained Sonntag, an associate stem cell researcher at McLean Hospital and an assistant professor of psychiatry at Harvard Medical School. “Our results support the hypothesis that impairment in multiple interacting components of bioenergetics metabolism may be a key mechanism underlying and contributing to the risk and pathophysiology of this devastating illness.”
For three decades, it has been thought that the accumulation of small toxic molecules in the brain, called amyloid beta, or in short, Aβ, is central to the development of Alzheimer’s disease (AD). Strong evidence came from studying familial or early-onset forms of AD (EOAD) that affect about five percent of AD patients and have associations with mutations leading to abnormally high levels or abnormal processing of Aβ in the brain. However, the “Aβ hypothesis” has been insufficient to explain the pathological changes in the more common LOAD, which affects more than 5 million seniors in the United States.
“Because late-onset Alzheimer’s is a disease of age, many physiologic changes with age may contribute to risk for the disease, including changes in bioenergetics and metabolism,” said Cohen, director of the Program for Neuropsychiatric Research at McLean Hospital and the Robertson-Steele Professor of Psychiatry at Harvard Medical School. “Bioenergetics is the production, usage, and exchange of energy within and between cells or organs, and the environment. It has long been known that bioenergetic changes occur with aging and affect the whole body, but more so the brain, with its high need for energy.”
According to Sonntag and Cohen, it has been less clear what changes in bioenergetics are underlying and which are a consequence of aging and illness.
In their study, Sonntag and Cohen analyzed the bioenergetic profiles of skin fibroblasts from LOAD patients and healthy controls, as a function of age and disease. The scientists looked at the two main components that produce energy in cells: glycolysis, which is the mechanism to convert glucose into fuel molecules for consumption by mitochondria, and burning of these fuels in the mitochondria, which use oxygen in a process called oxidative phosphorylation or mitochondrial respiration. The investigators found that LOAD cells exhibited impaired mitochondrial metabolism, with a reduction in molecules that are important in energy production, including nicotinamide adenine dinucleotide (NAD). LOAD fibroblasts also demonstrated a shift in energy production to glycolysis, despite an inability to increase glucose uptake in response to the insulin analog IGF-1. Both the abnormal mitochondrial metabolism and the increase of glycolysis in LOAD cells were disease- and not age-specific, while diminished glucose uptake and the inability to respond to IGF-1 was a feature of both age and disease.
“The observation that LOAD fibroblasts had a deficiency in the mitochondrial metabolic potential and an increase in the glycolytic activity to maintain energy supply is indicative of failing mitochondria and fits with current knowledge that aging cells increasingly suffer from oxidative stress that impairs their mitochondrial energy production,” said Sonntag.
Cohen added that because the brain’s nerve cells rely almost entirely on mitochondria-derived energy, failure of mitochondrial function, while seen throughout the body, might be particularly detrimental in the brain.
The study’s results link to findings from other studies that decreasing energy-related molecules (and specifically NAD) are features of normal aging by suggesting that abnormalities in processes involving these molecules may also be a factor in neurodegenerative diseases like LOAD. Whether modulating these compounds could slow the aging process and prevent or delay the onset of LOAD is unknown. However, several clinical trials are currently under way to test this possibility. Other changes are unique to AD, and these, too, may be targets for intervention.
While these findings are significant, the paper’s authors emphasize that the pathogenesis of LOAD is multifactorial, with bioenergetics being one part of risk determination and note that the skin fibroblasts studied are not the primary cell type that is affected in LOAD.
“However, because bioenergetics changes are body-wide, observations made in fibroblasts may also be relevant to brain cells,” said Sonntag. “In fact, metabolic changes like diminished glucose uptake and insulin/IGF-1 resistance may underlie the association between various disorders of aging, such as type 2 diabetes and AD.”
Sonntag and Cohen are already in the midst of follow-up work aiming to study these bioenergetics features in brain nerve cells and astrocytes generated from LOAD patient-derived induced pluripotent stem cells, as an aging and disease model in the dish. It is the group’s hope that findings from these studies will reveal further insight into the role of bioenergetics in LOAD pathogenesis and novel targets for intervention—both prevention and treatment.
Fresh peony buds for a fresh year. (Scored from @wholefoods for $10, a New Years miracle if there ever was one!) • #mvfloralstudies #millayhomescenes
© Henri Coudoux
Real writing tip that is actually really really important: SAVE BACKUPS of your work!!! Email yourself the file every few weeks or so!!!!! I had five book drafts and a completed manuscript and a query letter and now my computer is completely dead! Thankfully though, I had emailed myself the files just a week before it happened! Backups are IMPORTANT!!!!
Yes! I actually lost a novel and all of my notes for said novel - 2.5 years of work, gone just like that.
s_oh_l
Infograph by: Schizophrenic NYC
“Mental Illness Recovery Series” book contains 100 true life stories of people all around the world battling daily with their mental disorders. It’s an inspirational book 📖, that gives rise to the silenced truth of mental illness and the exhausting, but noble journey of recovery.
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Thank you ☺️ STOP THE STIGMA 🤗
#1 and #3, yes!
“I’m a doctor. We get all the glory. And credit. And guess what? We only deserve part of it. I started out in medicine in the mid-80′s, volunteering at an ER. And the biggest shock to me was learning how much of what happens in a hospital is nurse territory. Doctors will see you anywhere from 5 to 30 minutes a day, depending on how sick you are. And the rest is the nurses. They’re the ones making sure you get your pills and checking that your vital signs aren’t dropping. They make sure you don’t fall down and break something. If you start vomiting, doctors will run out of the room and the nurses will rush in. They change your wound dressings and start your IV line. They’ll bring you a warm blanket. And clean disgusting things off you. Even if you’re drunk. Or delirious. Or mean. And through all of this they try be friendly and positive. Even though you aren’t their only sick patient. I respect nurses. I learned early on that they’re key to being a good doctor. You piss off the nursing staff, and you’ll have a miserable career at that hospital. Respect and treat them well, and you’ll never regret it. They’re as important to being a good doctor as your medical degree. Maybe more. If you come out of medical school with a chip on your shoulder against nurses, you better lose it fast. Because they will make or break your training, and often know more than you do. Be nice and they’ll teach you. A good neurology nurse is often a better inpatient neurologist than some doctors I’ve met. I remember a guy named Steve, who was an intern with me a long time ago. We were only a few months out of medical school, and as we were writing chart notes one morning a nurse came over and asked if he’d go listen to his patient’s heart. With icy contempt, and not even looking up from the chart, he said “I don’t have to listen to his heart, because I looked at his EKG.” They ain’t the same thing, dude. If he’d listened he might have noticed that the patient had developed a loud murmur in the last 24 hours. When the attending caught it a few hours later, Steve got chewed out. If he’d taken the nurse’s advice, and listened, he wouldn’t have gotten reprimanded by the residency board. Here’s a quote from “Kill as Few Patients as Possible” by Oscar London, MD: “Working with a good nurse is one of the great joys of being a doctor. I cannot understand physicians who adopt an adversarial relationship with nurses. They are depriving themselves of an education in hospital wisdom.” Those doctors are also depriving themselves of friends. On a difficult day on call, sometimes all it takes is a sympathetic nurse to temporarily add you to her patient list, steal you a Diet Coke from the fridge, and let you cry on her shoulder for 5 minutes. It doesn’t make the day any less busy, but helps you absorb the punishment better. What got me started on this? While I was rounding this weekend, a grateful patient’s family brought the ICU nurses a box of donuts, and so the staff was picking through them. One said, “Oh, this kind is my favorite, it has cream filling.” And a patient in one of the rooms yelled, “Hey, babe, I got my own kind of cream-filled dessert in here! Come have a taste!” You say that to a waitress, and you’d likely get your kicked out of the restaurant. You say that to a co-worker, and you’d be fired and/or sued for harassment. You say that to a lady in a bar, and you’ll likely get a black eye. And what did the nurse do? In spite of the patient said, she went in his room, turned off his beeping IV pump, and calmly told him that he would not talk to her that way. And I admire that. Nursing is a damn tough job. And the people who do it are tougher. And somehow still remain saints.”
—
Angela Ar (via
theitunurse
)
This makes me feel good.
(via adenosinetriesphosphate)
Omg this makes this preggo nurse cry 😭
While scribing in the ED, I saw much of the same thing. I left that job with so much respect for nurses
“Last night the rain spoke to me slowly, saying, what joy to come falling out of the brisk cloud, to be happy again in a new way on the earth!” — Mary Oliver. Happy Earth Day! 🌎 (thanks to @keepreadingbooks for the beautiful photo!) #maryoliver #earthday #poetry #bookstagram
In Passing | Ted Kooser
From a half block off I see you coming, walking briskly along, carrying parcels, furtively glancing up into the faces of people approaching, looking for someone you know, holding your smile in your mouth like a pebble, keeping it moist and ready, being careful not to swallow.
I know that hope so open on your face, know how your heart would lift to see just one among us who remembered. If only someone would call out your name, would smile, so happy to see you again. You shift your heavy parcels, hunch up your shoulders, and press ahead into the moment.
From a few feet away, you recognize me, or think you do. I see you preparing your face, getting your greeting ready. Do I know you? Both of us wonder. Swiftly we meet and pass, averting our eyes, close enough to touch, but not touching. I could not let you know that I’ve forgotten, and yet you know.
Spending my Saturday with Virginia Woolf, strawberries, and flowers 🌷
the best way to spend a Saturday
Neurons Derived From Super-Obese People Respond Differently to Appetite Hormone
These neurons secreted neuropeptides that regulate feeding behavior in response to the hunger hormone ghrelin and the satiety hormone leptin.
The research is in Cell Stem Cell. (full open access)
Edith Wharton on tacky shit
“It is one of the misfortunes of the present time that the most preposterously bad things often possess the powerful allurement of being expensive.“
(“The Decoration of Houses”, 1897)
lololol
Sunrise at Seongsan Ilchulbong, Jeju.
Wildfire | Helli Fang
Last summer I learned to walk into an open mouth: white skylines caged around my neck like a city on a leash.
I think of the way the boy spoke—as if trying to swallow a plum—& realize there is no easy way to say close. I’ve
fallen into cathedrals and landed on my feet. I’ve strung and unstrung a cello with my veins, still beating.
Because in the dark, what matters most is how the shutter of a throat closes & not how empty it is. I still remember the night
I saw a stranger’s hips rise like a scaffold, his hair on fire—the kind of fire that shouts the need to be abandoned. So
I left. It’s how I learned to walk away, they say. My sisters frozen in the field, palms pressed against a corpse meant
to be mine. When the boy turned back, I set the maple tree on fire. We watched from the road. Two bodies split.
Brain waves reflect different types of learning
Figuring out how to pedal a bike and memorizing the rules of chess require two different types of learning, and now for the first time, researchers have been able to distinguish each type of learning by the brain-wave patterns it produces.
These distinct neural signatures could guide scientists as they study the underlying neurobiology of how we both learn motor skills and work through complex cognitive tasks, says Earl K. Miller, the Picower Professor of Neuroscience at the Picower Institute for Learning and Memory and the Department of Brain and Cognitive Sciences, and senior author of a paper describing the findings in the Oct. 11 edition of Neuron.
When neurons fire, they produce electrical signals that combine to form brain waves that oscillate at different frequencies. “Our ultimate goal is to help people with learning and memory deficits,” notes Miller. “We might find a way to stimulate the human brain or optimize training techniques to mitigate those deficits.”
The neural signatures could help identify changes in learning strategies that occur in diseases such as Alzheimer’s, with an eye to diagnosing these diseases earlier or enhancing certain types of learning to help patients cope with the disorder, says Roman F. Loonis, a graduate student in the Miller Lab and first author of the paper. Picower Institute research scientist Scott L. Brincat and former MIT postdoc Evan G. Antzoulatos, now at the University of California at Davis, are co-authors.
Explicit versus implicit learning
Scientists used to think all learning was the same, Miller explains, until they learned about patients such as the famous Henry Molaison or “H.M.,” who developed severe amnesia in 1953 after having part of his brain removed in an operation to control his epileptic seizures. Molaison couldn’t remember eating breakfast a few minutes after the meal, but he was able to learn and retain motor skills that he learned, such as tracing objects like a five-pointed star in a mirror.
“H.M. and other amnesiacs got better at these skills over time, even though they had no memory of doing these things before,” Miller says.
The divide revealed that the brain engages in two types of learning and memory — explicit and implicit.
Explicit learning “is learning that you have conscious awareness of, when you think about what you’re learning and you can articulate what you’ve learned, like memorizing a long passage in a book or learning the steps of a complex game like chess,” Miller explains.
“Implicit learning is the opposite. You might call it motor skill learning or muscle memory, the kind of learning that you don’t have conscious access to, like learning to ride a bike or to juggle,” he adds. “By doing it you get better and better at it, but you can’t really articulate what you’re learning.”
Many tasks, like learning to play a new piece of music, require both kinds of learning, he notes.
Brain waves from earlier studies
When the MIT researchers studied the behavior of animals learning different tasks, they found signs that different tasks might require either explicit or implicit learning. In tasks that required comparing and matching two things, for instance, the animals appeared to use both correct and incorrect answers to improve their next matches, indicating an explicit form of learning. But in a task where the animals learned to move their gaze one direction or another in response to different visual patterns, they only improved their performance in response to correct answers, suggesting implicit learning.
What’s more, the researchers found, these different types of behavior are accompanied by different patterns of brain waves.
During explicit learning tasks, there was an increase in alpha2-beta brain waves (oscillating at 10-30 hertz) following a correct choice, and an increase delta-theta waves (3-7 hertz) after an incorrect choice. The alpha2-beta waves increased with learning during explicit tasks, then decreased as learning progressed. The researchers also saw signs of a neural spike in activity that occurs in response to behavioral errors, called event-related negativity, only in the tasks that were thought to require explicit learning.
The increase in alpha-2-beta brain waves during explicit learning “could reflect the building of a model of the task,” Miller explains. “And then after the animal learns the task, the alpha-beta rhythms then drop off, because the model is already built.”
By contrast, delta-theta rhythms only increased with correct answers during an implicit learning task, and they decreased during learning. Miller says this pattern could reflect neural “rewiring” that encodes the motor skill during learning.
“This showed us that there are different mechanisms at play during explicit versus implicit learning,” he notes.
Future Boost to Learning
Loonis says the brain wave signatures might be especially useful in shaping how we teach or train a person as they learn a specific task. “If we can detect the kind of learning that’s going on, then we may be able to enhance or provide better feedback for that individual,” he says. “For instance, if they are using implicit learning more, that means they’re more likely relying on positive feedback, and we could modify their learning to take advantage of that.”
The neural signatures could also help detect disorders such as Alzheimer’s disease at an earlier stage, Loonis says. “In Alzheimer’s, a kind of explicit fact learning disappears with dementia, and there can be a reversion to a different kind of implicit learning,” he explains. “Because the one learning system is down, you have to rely on another one.”
Earlier studies have shown that certain parts of the brain such as the hippocampus are more closely related to explicit learning, while areas such as the basal ganglia are more involved in implicit learning. But Miller says that the brain wave study indicates “a lot of overlap in these two systems. They share a lot of the same neural networks.”