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Neurological diseases are now the main reason people get sick around the world

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Based on a significant new analysis, it has been found that neurological conditions have surpassed cardiovascular disease as the primary cause of ill health and disability worldwide.

Researchers analyzed data from the 2021 edition of the Global Burden of Disease, Injuries, and Risk Factors Study (GBD) to investigate the effects of 37 neurological conditions on global health. These conditions included stroke, Alzheimer’s disease, and meningitis, among others. The study aimed to understand the impact of these conditions on disability, ill health, and premature death worldwide.

This was quantified using a metric called disability-adjusted life years (DALYs), which represents the number of years of healthy life that were compromised due to the neurological conditions. Between 1990 and 2021, there was an 18 percent increase in the global number of DALYs caused by neurological conditions, reaching approximately 443 million.

In 2021, it was found that a staggering 3.4 billion individuals suffered from various nervous system conditions. These included stroke, neonatal encephalopathy, nerve damage caused by diabetes, and epilepsy, among others.

The findings reveal a significant increase in the prevalence of neurological conditions, highlighting their status as the leading cause of global ill health. The increase in question is attributed to various factors, such as a growing and aging population as well as increased environmental, metabolic, and lifestyle risks, according to the study authors.

There is a glimmer of positivity amidst the negativity: without considering the effects of a growing and aging population, the number of DALYs and deaths has actually decreased since 1990. This decline is attributed to improved awareness, prevention, and vaccination, according to the researchers.

That being said, the data still indicates a growing burden overall, but the researchers have also identified some of the crucial methods to address the crisis.

For instance, understanding the full extent of the impact in low- and middle-income countries (LMICs) was challenging due to limited and unreliable data. However, the study shows that the rise is having a disproportionately negative impact on these nations.

According to Dr. Tarun Dua, a senior author from the World Health Organization’s Brain Health Unit, the impact of nervous system health loss is particularly severe in impoverished nations. This is largely because of the higher occurrence of conditions that affect newborns and children under 5, such as birth-related complications and infections. As a scientist, I can see that the increase in long-term disability has unluckily coincided with the progress in infant survival rates. Additionally, the lack of availability of treatment and rehabilitation services is a significant factor contributing to the disproportionately high number of deaths in these nations.

According to the scientists, prioritizing prevention is highly recommended. Understanding modifiable risk factors and the potentially avoidable burden of neurological conditions is crucial in addressing this global health crisis, especially considering the lack of cures and limited access to medical care. Dr. Katrin Seeher, a mental health specialist at the WHO’s Brain Health Unit, emphasizes the importance of this knowledge.

How healthcare organizations and policymakers approach this issue is likely to be quite complex. Neurological conditions vary greatly, and what may be effective for some individuals may not work for others. Additionally, there are potential social, cultural, and economic barriers to consider.

According to Dr. Jaimie Steinmetz, nervous system conditions encompass a wide range of diseases and injuries, both infectious and non-communicable. These conditions require diverse approaches to prevention and treatment at different stages of life.

Our findings aim to provide policymakers with a more comprehensive understanding of the impact of neurological conditions on both adults and children. This knowledge can inform more targeted interventions in individual countries and guide ongoing awareness and advocacy efforts worldwide.

The study has been published in The Lancet Neurology.

As Editor here at GeekReply, I'm a big fan of all things Geeky. Most of my contributions to the site are technology related, but I'm also a big fan of video games. My genres of choice include RPGs, MMOs, Grand Strategy, and Simulation. If I'm not chasing after the latest gear on my MMO of choice, I'm here at GeekReply reporting on the latest in Geek culture.

Bionics

A new syndrome linked to COVID that could be fatal has appeared

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There is a new outbreak of a rare but deadly autoimmune disorder in the north of England. New research suggests that the outbreak may be linked to COVID-19. Anti-MDA5-positive dermatomyositis is the name of the disease. It was mostly found in Asian people before the pandemic, but now it’s becoming more common among white people in Yorkshire.

Antibodies that target the MDA5 (melanoma differentiation-associated protein 5) enzyme are what cause the illness. It is linked to progressive interstitial lung disease, which scars lung tissue. Between 2020 and 2022, doctors in Yorkshire reported 60 cases of MDA5 autoimmunity, which was the highest number ever. Eight people died as a result.

What the researchers found when they looked at this sudden rise in cases is that it happened at the same time as the main waves of COVID-19 infections during the pandemic’s peak years. This caught their attention right away because MDA5 is an RNA receptor that is very important for finding the SARS-CoV-2 virus.

The study authors write, “This is to report a rise in the rate of anti-MDA5 positivity testing in our region (Yorkshire) in the second year of the COVID-19 pandemic. This was noteworthy because this entity is not commonly found in the UK.” They say this is likely a sign of “a distinct form of MDA5+ disease in the COVID-19 era.” They have named it “MDA5-autoimmunity and Interstitial Pneumonitis Contemporaneous with COVID-19” (MIP-C).

The researchers used tools that look for shared traits among people in the same medical cohort to figure out how this newly discovered symptom works. In this way, they found that people who had MDA5 autoimmunity also tended to have high levels of interleukin-15 (IL-15), a cytokine that causes inflammation.

The author of the study, Pradipta Ghosh, said in a statement that IL-15 “can push cells to the brink of exhaustion and create an immunologic phenotype that is very, very often seen as a hallmark of progressive interstitial lung disease, or fibrosis of the lung.”

Overall, only eight of the 60 patients had tested positive for COVID-19 before. This means that a lot of them may have had infections that didn’t cause any symptoms that they weren’t aware of. This means that even mild infections with no early symptoms might be enough to cause MDA5 autoimmunity.

The researchers say, “Given that the highest number of positive MDA5 tests happened after the highest number of COVID-19 cases in 2021 and at the same time as the highest number of vaccinations, these results suggest an immune reaction or autoimmunity against MDA5 after exposure to SARS-CoV-2 and/or vaccines.”

Ghosh says that the event probably isn’t just happening in Yorkshire. Reports on MIP-C are now coming in from all over the world.

The study was written up in the eBioMedicine journal.

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Medicine and Health

The largest-ever 3D-mapped segment of the human brain remains small enough to fit on a grain of rice

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This vibrant spectrum of cells depicts the most extensive and detailed three-dimensional map ever created of a specific region of the human brain. Although it is the largest, it is still only a cubic millimeter in size, which is approximately equivalent to half a grain of rice. Through this achievement, scientists are now able to observe the complex network of 57,000 cells, linked by 150 million synapses and numerous millimeters of blood vessels, which constitute this particular small area of the human cortex.

Over the past ten years, a partnership between scientists at Harvard University and Google has been dedicated to creating a comprehensive and detailed map of the mouse brain. This represents a significant and crucial advancement in our progress, as it unveils the previously unknown intricacy of a portion of brain matter at the level of synapses.

Senior author Jeff Lichtman stated that the term ‘fragment’ is ironic. His team generated electron microscopy images that serve as the foundation for the new map. “For the majority of individuals, a terabyte is considered to be enormous. However, even a small portion of the human brain, which is minuscule and tiny, still contains thousands of terabytes.”

Using AI algorithms created by Google Research, the imaging from Lichtman’s team at Harvard can be color-coded and reconstructed to unveil unparalleled levels of detail.

It is reasonable to assume that neurons, which are the fundamental nerve cells, would be the most prevalent in the primary organ of the central nervous system, as indicated by their name, correct? However, the team discovered that the number of these cells was actually twice as many as the supporting glial cells, which play a role in maintaining the optimal environment of the brain. The oligodendrocytes, which generate myelin, the crucial insulation surrounding nerve axons, were the most abundant cell type.

The tissue fragment displayed peculiarities such as robust neurons interconnected by 50 or more synapses each, enlarged axons containing what the research team referred to as “unusual material,” and a limited quantity of axons arranged in “extensive whorls.” Due to the fact that the tissue sample was obtained from a patient with epilepsy, it remains uncertain whether these characteristics are associated with the aforementioned condition or not.

Mapping down to this level of detail is crucial because it has the potential to offer future researchers valuable insights into the impact of small-scale connections within brain tissue. These connections may have significant effects on major functions and contribute to the development of diseases.

The scientific field that studies the connections within the brain is referred to as “connectomics.”. Recent advancements in the field include a large-scale global initiative to comprehensively map the intricate connections within the human brain, similar to how we have mapped the human genome. Additionally, the first comprehensive map of an insect brain has been published.

In addition to previous achievements such as last year’s unveiling of a brain cell atlas, scientists can now delve into our intricate network of “little gray cells” with unprecedented depth.

In order to advance this objective and increase the accessibility of these techniques to a wide range of scientists, the Harvard and Google teams have created a set of analytical tools that are openly accessible to the public. “Due to the substantial investment made in this project, it was crucial to present the findings in a manner that allows anyone else to easily access and derive advantages from them,” stated Viren Jain, a member of the Google Research team.

The ultimate objective of this project is to create a comprehensive map of the entire mouse brain. This map will yield approximately 1,000 times more data than what is currently being generated from this 1-cubic-millimeter fragment of the human brain. Therefore, there is still a considerable amount of progress to be made.

The authors acknowledge that approaches to understanding the meaning of neural circuit connectivity data are still in their early stages. However, they consider this petascale dataset as a starting point.

The research findings have been published in the scientific journal Science.

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Medicine and Health

A cutting-edge brain implant has been developed that can accurately translate imagined speech in real time, achieving the highest level of precision to date

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Caltech bioengineers’ new tool has proven to be exceptionally adept at deciphering brain signals related to internal speech. Although it has only been tested in two patients thus far, with further development, this technology has the potential to enable individuals who cannot speak to communicate solely through their thoughts.

BMIs are already achieving remarkable feats. These systems have been utilized to assist paralyzed patients in walking and, in the case of Neuralink’s first experimental subject, enable them to control a computer through a “telepathic” connection.

One of the primary applications of this technology involves facilitating communication. For people who are unable to speak, such as those with neurological conditions or brain injuries, BMIs can give them a voice.

There are some limitations to devices of this kind, like the one that the late Stephen Hawking famously used. One challenge is capturing the natural rhythm of speech, which scientists are actively researching, aided by Pink Floyd. Another limitation is that many speech BMIs rely on users attempting to vocalize words, which may not be feasible for everyone. An optimal solution would involve discovering a method to decipher internal speech, allowing individuals to simply imagine uttering a word. Progress in this field has been made, but it has been quite difficult, and the outcomes have been varied.

Now, the team at Caltech has created a system that can accurately decode internal speech with unprecedented precision.

Microelectrode arrays were surgically inserted into the brains of two male patients who were experiencing tetraplegia, one aged 33 and the other aged 39. The team focused on the primary somatosensory cortex and the supramarginal gyrus (SMG), a brain region that has not been investigated in previous studies on speech BMI.

The interface was trained on a combination of real and made-up words to determine their impact on the system’s effectiveness. The participants were presented with each word either visually or audibly and were subsequently instructed to mentally simulate saying the word for a duration of 1.5 seconds. They were then requested to vocalize the word.

According to first author Sarah Wandelt, this technology would be especially beneficial for individuals who have lost their ability to move. For example, let’s consider a condition such as locked-in syndrome.

Using the BMI, the researchers were able to analyze the real-time activity in the SMG while the participants were contemplating each word. One participant achieved an accuracy of 79 percent, which is comparable to the accuracy of decoding vocalized speech, according to Wandelt and co-author David Bjånes. The other participant, however, only achieved an accuracy of 23 percent.

The technology will require additional refinement and testing on a larger sample size with a broader range of words. However, the study does indicate that the SMG shows promise as a brain region to focus on.

“Although the second participant did not replicate these results, this study holds significance as it is, to my knowledge, the first successful implementation of a real-time speech brain-computer interface using single unit recordings in the SMG,” remarked Blaise Yvert of The Grenoble Institute of Neuroscience, who was not part of the study.

Additionally, the team is interested in exploring whether the BMI can effectively differentiate between different letters of the alphabet. Wandelt and Bjånes propose that decoding individual sound units of speech, known as phonemes, may offer a potential avenue for investigation.

According to Giacomo Ariani, the Associate Editor of the paper, this proof-of-concept study on high-performance decoding of internal speech will undoubtedly capture the attention of researchers who are dedicated to advancing the capabilities of BMIs and other therapeutic devices for individuals who have lost their ability to speak.

The study has been published in the prestigious journal Nature Human Behavior.

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