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The former Blair lobbyist, 53, was able to whisper the word 'pain' to his wife, who watched on 'in tears' over FaceTime.The former Blair lobbyist, 53, was able to whisper the word 'pain' to his wife, who watched on 'in tears' over FaceTime.
An experimental treatment may have "jump-started" the brains of two patients who had been in a minimally conscious state for months following a coma, according to a new study.
© Provided by Live Science An illustration of the human brain. Both patients had severe brain injuries and had shown only limited signs of consciousness for more than a year. But after receiving the treatment — which involved ultrasound to "excite" cells in a brain region called the thalamus — the patients showed sudden improvements in their condition, according to the study, published Jan. 15 in the journal Brain Stimulation. For example, after treatment, one patient could move their head to indicate "yes" or "no" in response to certain questions.
Mum who gave birth to twins while in a Covid coma is finally home
Perpetual Uke gave birth at Queen Elizabeth Hospital Birmingham while on a ventilator in an induced coma and did not see her newborn babies until she came round sixteen days later. The twins, Palmer, a girl and Pascal, a boy, stayed in a Birmingham hospital where they 'fought aggressively for their lives' before being discharged more than 100 days later. Perprtual, a rheumatology consultant at Birmingham City Hospital, began to feel unwell with flu-like symptoms in late March.After calling NHS 111 she began a period of self-isolation but, over the coming days, she felt progressively more unwell.
Such quick recovery is unusual in patients in a prolonged, minimally conscious state — meaning the person is awake but shows only small signs of consciousness. In these patients, "any recovery typically occurs slowly over several months and more typically years," study co-senior author Martin Monti, a professor of psychology and neurosurgery at the University of California, Los Angeles, said in a statement. But these two patients showed significant progress over just days to weeks, he said.
Previous studies have found that stimulating the thalamus with surgically implanted electrodes can lead to similar improvements, but that method is invasive and doesn't work in all patients, said Dr. Neel Singhal, an assistant professor of neurology at the University of California, San Francisco who was not involved in the study. Singhal called the new research "groundbreaking," because the method is "non-invasive and can potentially be applied to a much broader set of patients than deep brain stimulation."
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However, the new findings are very preliminary, and the ultrasound method does not appear to help all patients. There were a total of three patients in the new study; of the two patients that benefited, one showed an initial improvement but later regressed, and a third patient showed no benefit.
Related: 10 things you didn't know about the brain
Sudden improvement
For the study, the doctors used a saucer-like device to aim ultrasonic pulses at specific areas of the brain. In this case, the researchers targeted the thalamus, a structure deep in the brain that acts as a hub to relay sensory information to other parts of the brain. They targeted this region because its performance is typically weakened after a coma, the researchers said.
The three patients in the study underwent two 10-minute sessions with the device, one week apart.
Gallery: 10 ways COVID-19 changed the world (Live Science)
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10 ways COVID-19 changed the world
The year 2020 was defined by the coronavirus pandemic, arguably the worst pandemic the world has seen in 100 years. COVID-19 has caused more than 75 million cases and 1.6 million deaths worldwide as of mid-December. The illness has affected nearly every aspect of life, from work and school to everyday activities like getting groceries, and even our wardrobes.
Here are just some of the ways COVID-19 changed the world in 2020.
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New vocabulary
A number of new words and phrases entered the general lexicon in 2020. We were told we need to "social distance," or stay six feet apart, so that we could "flatten the curve," or slow the disease's spread in order to reduce the burden on the healthcare system. People even became familiar with relatively obscure epidemiological terms like the "basic reproduction number" (R0, pronounced R-nought), or the average number of people who catch the virus from a single infected person. And of course the name of the illness itself, COVID-19, is a new term, with the World Health Organization officially naming the disease on Feb. 11.
10-minute jump rope full body workout with FightCamp co-founder Tommy Duquette
Follow this jump rope workout from Tommy Duquette and burn 150 calories in just 10 minutesTommy Duquette, FightCamp co-founder and former US National Boxing Team Member who also happens to be an amazing trainer and an all-around nice person, was kind enough to put yet another workout together exclusively for the readers of T3. Not only that but he also provided a blog post on FightCamp where he further explains every possible detail there is to know about jump rope workouts.
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Wardrobe addition
The must-have fashion item of 2020 was a small piece of cloth to put around your face.
With medical masks in short supply at the beginning of the year, sewing enthusiasts began churning out homemade masks for their communities. Then, clothing companies and retailers got on board, adding masks to their fashion lines. Now, in many parts of the world, you can't leave your house without putting on a mask.
At first, it was unclear whether wearing cloth masks would protect against COVID-19, but as the year went on, numerous studies showed the benefits of wearing masks, for both the wearer and those around them.
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Anxiety and depression
The pandemic took a serious toll on people's mental health in 2020. One study published in August by the Centers for Disease Control and Prevention (CDC) found that levels of anxiety, depression and suicidal thoughts skyrocketed amid the pandemic.
The study could not determine the reason for the rise in mental health conditions, but factors relating to the pandemic, such as social isolation, school and university closures, unemployment and other financial worries, as well as the threat of the disease itself, may play a role, the authors said.
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The Sparkle Coach's weekly fitness and well-being vlog and column
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Pandemic drinking
Another insidious side effect of the pandemic was increases in alcohol consumption. A study published in October in the journal JAMA Network Open found that alcohol consumption in the United States rose 14% during pandemic shutdowns.
Women in particular reported worrying increases in heavy drinking during the spring of 2020, according to the study.
"In addition to a range of negative physical health associations, excessive alcohol use may lead to or worsen existing mental health problems," the authors concluded.
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New normal
As businesses began to open after initial lockdowns, people needed to adjust to a new normal to reduce the risk of spreading the disease from everyday activities. Businesses implemented universal mask policies. Dining switched to outdoors only. Waiting rooms became a thing of the past. You needed a reservation to go to the gym. And large gatherings and events were banned completely in many areas.
Although there is no way to ensure zero risk of catching COVID-19, officials said taking precautions could reduce the risk of spread. However, as the fall began, many areas went into lockdown again amid surging COVID-19 cases.
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Rampant rumors
From the idea that drinking bleach can kill the norovirus to a theory that the virus was created in a lab as a bioweapon, the COVID-19 pandemic has generated a flurry of misinformation. Indeed, one study, published Aug. 10 in the American Journal of Tropical Medicine and Hygiene, found that the pandemic has hatched more than 2,000 rumors, conspiracy theories and reports of discrimination.
Coronavirus may infect key brain cells, causing neurons to die
A preliminary study hints that the virus may infect astrocytes, triggering downstream effects.The star-shaped cells, called astrocytes, perform many roles in the nervous system and provide fuel to neurons, which transmit signals throughout the body and brain. In a lab dish, the study found that infected astrocytes stopped producing critical fuel for neurons and secreted an "unidentified" substance that poisoned nearby neurons.
Such false information can have serious consequences — the researchers of the new study found that COVID-19 related rumors were linked to thousands of hospitalizations and hundreds of deaths.
"Health agencies must track misinformation associated with ... COVID-19 in real time, and engage local communities and government stakeholders to debunk misinformation," the authors concluded.
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Pandemic puppies
With orders to stay at home as much as possible, many people decided to get a furry friend during quarantine.
The coronavirus pandemic has been a boon for pet adoptions, particularly dog adoptions. Many shelters, breeders and pet stores reported a surge in applications for dogs, with the demand far exceeding supply, according to The Washington Post. Some shelters reported double the number of adoptions compared with the previous year, and needed to resort to waitlists to handle the demand.
Not only is this good news for pets who need homes, but also for their humans, given that many studies show there are mental health benefits to pet ownership, according to NPR.
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School closures
Children seem to be largely spared from the most severe effects of COVID-19, but they can still act as spreaders of the disease. So many schools across the U.S. and the world made the decision to close in 2020, and opt for virtual learning instead. Questions around how long to remain closed and how to safely reopen were the subject of much debate. As fall arrived with a number of schools still closed, many children seemed to be falling behind in learning. Statewide polls have found that nearly 9 in 10 parents are worried about their children falling behind at school due to the pandemic closures, according to The Educational Trust.
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Lowered emissions
Coronavirus lockdowns, which slowed the normal hustle and bustle of cities to a near halt, also appeared to dramatically lower emissions of carbon dioxide around the world. A study published May 19 in the journal Nature Climate Change found that daily global carbon dioxide emissions dropped by 17% in early 2020, compared with levels in 2019. That appears to be one of the biggest drops in recorded history. But this temporary drop is far from enough to undo the harmful effects of man-made climate change.
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"Although this is likely to lead to the largest cut in emissions since World War II, it will make barely a dent in the ongoing build-up of carbon dioxide in the atmosphere," Richard Betts, Head of Climate Impacts Research at the Met Office Hadley Centre in England, said in a statement.
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New vaccine
Developing a new vaccine normally takes years to decades. But in an unprecedented feat, researchers in the U.S. and several other countries created a coronavirus vaccine — taking it from lab bench to bedside — in just under 12 months. When 2020 began, COVID-19 and the virus that causes it, SARS-CoV-2, were unknown to science. But once the virus was identified, scientists acted quickly to begin developing a vaccine. By mid-March, early trials in humans had begun, and by late summer, the vaccines were ready for more advanced trials with thousands of participants. In December, the United States authorized two COVID-19 vaccines, from Pfizer and Moderna, after trials showed impressive results. Both vaccines used molecules known as mRNA to stimulate an immune response against the coronavirus, marking the first time that any mRNA vaccine has been authorized for use in people. The vaccines were heralded as an extraordinary scientific advancement, and the first doses were administered to healthcare workers in the U.S. in mid-December.
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One of the patients was a 56-year-old man who had been in a minimally conscious state for 14 months after having a stroke. After the ultrasound treatment, the man showed that he could consistently respond to commands such as dropping a ball or looking toward photos of his relatives when he heard their names. He could also nod his head for "yes" and shake his head to mean "no" when asked questions about himself. And for the first time since his stroke, he could use a pen and paper and put a bottle to his mouth. However, the man regressed to his minimally conscious state after a few months.
The second patient was a 50-year-old woman who had been in a minimally conscious state for 2.5 years after going into cardiac arrest. She had previously shown no response when given any command, but after the treatment, she consistently responded to commands by moving her head or fingers. She was also able to recognize objects, including a pencil and a comb, for the first time in years. The woman maintained her improvements over the six-month follow-up period, they said.
The third patient, a 58-year-old man who had been in a minimally conscious state for 5.5 years following a car accident, didn't show any benefit from the treatment.
Groundbreaking findings
In 2016, this same group of researchers used the ultrasound treatment on a 25-year-old man who had been in a minimally conscious state for just a few weeks. In that instance, the treatment also appeared to fire up his brain — he soon regained full consciousness and language comprehension.
But at that time, the researchers cautioned that their finding may have just been a coincidence — in other words, the man may have spontaneously recovered just as the researchers started the treatment. In the new report, it's "very unlikely" that the two patients recovered spontaneously, given the length of time they had been in a minimally conscious state, Monti said.
As for why the third patient in the new study didn't respond to the treatment, the researchers speculate that perhaps the person's thalamus was damaged or disconnected from other brain regions. In that subgroup of patients, this method may not help.
"Just to make an example, if someone had a 'fully disconnected' thalamus, we could stimulate it all we want, and it would not help re-igniting the complex web of brain networks needed for complex cognitive function (and behavior)," Monti told Live Science in an email.
Even though the changes seen in the study are small, they can mean a great deal to patients and their families. "For our patients, even being just able to communicate with their loved one — in however restricted a fashion ... might mean regaining the ability to be part of their social environment, of the lives of their loved ones, and recovering some degree of personal autonomy," Monti said.
The researchers said they are investigating whether the dose and frequency of ultrasound exposure could affect the level and duration of the benefit. "With further fine-tuning of the stimulation protocol, patient selection and device, this may bring tangible benefits to patients with severe brain injuries," who currently have no definitively effective treatments available to improve neurological recovery, Singhal told Live Science.
The authors stressed that the ultrasound treatment is experimental and likely will not be available to the public for several years.
Originally published on Live Science.
Back to work tips for you and your colleagues as lockdown has literally changed minds .
THIS pandemic has been tough and impacted all of us. Many have had the good fortune to keep their jobs and had the mixed benefits of working from home. Others have had to brave public transport and go to work, in essential retail and construction for instance, with all the risks involved.Read on to find out what happens and how to help. COVID 19 has had an impact on the brain and nervous system of every single one of us.