Chronic pain treatments are failing millions, say experts

Specialists warn the NHS is not set up to deal with such complex conditions.

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How tumor cells use mitochondria to keep growing

Hormone therapy is often used to treat prostate cancer that has spread to other parts of the body, but many patients develop resistance to hormone therapy, causing their disease to become more aggressive and potentially more deadly.

“One of the big challenges we have in the field is that the majority of prostate cancer therapies target hormones — the androgen axis,” says University of Colorado Cancer Center mentored member Cecilia Caino, PhD. “But nearly all patients develop resistance to those drugs and then get a more aggressive disease that starts moving to other parts of the body. It’s been confined to the prostate, but now it might move over to the bones or the liver, or the lungs. That’s really a big problem, because when you start to compromise the vital organs, the patient eventually will die.”

In spring 2021, Caino received an Idea Award from the U.S. Department of Defense’s Peer Reviewed Cancer Research Program to investigate the role of mitochondria — the small energy factories in cells that help to break down food into fuel — in metastatic prostate cancer.

In initial research recently published in the journal Molecular Cancer Research, Caino and her co-investigators discovered that tumor cells use mitochondria to control their growth and detect stress that can destroy a tumor cell if it is not controlled. In addition to the Department of Defense, the research is funded by the American Cancer Society, the Boettcher Foundation, and the National Institute of General Medical Sciences.

“We know that tumor cells are very resistant to stress in general; that’s what makes them so hard to target with therapies,” Caino says. “But when the tumors grow too fast, they start running out of nutrients to keep building. They utilize this mitochondrial pathway that we describe to slow down for a moment, adapt, and expand their capacity to synthesize more blocks to build the cells.”

A compound to target

Caino and her team also found that a mitochondrial protein called MIRO2 is overexpressed in metastatic prostate cancer tumors. Having previously found that MIRO2 works together with two other proteins called GCN1 and GCN2 to help metastatic prostate cancer cells tolerate conditions where growth of normal cells would be prevented, Caino now hypothesizes that targeting this protein compound can inhibit the mitochondrial process that prevents tumor cells from destroying themselves by expanding too quickly.

“Our next step is to treat animal models that have metastases and see if we can eliminate the tumor or prevent the metastasis from even occurring in the first place,” she says. “We’re also learning a lot more about the complex, because we want to know how it’s regulated. That will help us stratify patients who will benefit from the therapy from those who will not.”

The researchers will start out treating the metastasis with an existing drug used to treat acute lymphocytic leukemia, but Caino also hopes to eventually design a drug that would prevent the complex from forming in the first place.

“A lot of times drugs work for a while, then they stop working. You already have to be thinking about what you’re going to do when that drug doesn’t work anymore,” she says. “Hopefully we can come up with a strategy to stop the process farther upstream.”

Milestone research

Caino is especially excited about this research as it represents her first peer-reviewed paper as a senior corresponding author. It also marks 22 years from her first experience in lab research.

“I decided to start a new line of research that did not stem directly from my postdoctoral studies,” she says. “I also chose to begin my lab with a couple of graduate students and a technician, investing in their training while remaining involved in bench work myself. Walking this long, winding road was challenging and called upon every single skill and strength I had.”

Story Source:

Materials provided by University of Colorado Anschutz Medical Campus. Original written by Greg Glasgow. Note: Content may be edited for style and length.

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Computational sleuthing confirms first 3D quantum spin liquid

Computational detective work by U.S. and German physicists has confirmed cerium zirconium pyrochlore is a 3D quantum spin liquid.

Despite the name, quantum spin liquids are solid materials in which quantum entanglement and the geometric arrangement of atoms frustrate the natural tendency of electrons to magnetically order themselves in relation to one another. The geometric frustration in a quantum spin liquid is so severe that electrons fluctuate between quantum magnetic states no matter how cold they become.

Theoretical physicists routinely work with quantum mechanical models that manifest quantum spin liquids, but finding convincing evidence that they exist in actual physical materials has been a decadeslong challenge. While a number of 2D or 3D materials have been proposed as possible quantum spin liquids, Rice University physicist Andriy Nevidomskyy said there’s no established consensus among physicists that any of them qualify.

Nevidomskyy is hoping that will change based on the computational sleuthing he and colleagues from Rice, Florida State University and the Max Planck Institute for Physics of Complex Systems in Dresden, Germany, published this month in the open-access journal npj Quantum Materials.

“Based on all the evidence we have today, this work confirms that the single crystals of the cerium pyrochlore identified as candidate 3D quantum spin liquids in 2019 are indeed quantum spin liquids with fractionalized spin excitations,” he said.

The inherent property of electrons that leads to magnetism is spin. Each electron behaves like a tiny bar magnet with a north and south pole, and when measured, individual electron spins always point up or down. In most everyday materials, spins point up or down at random. But electrons are antisocial by nature, and this can cause them to arrange their spins in relation to their neighbors in some circumstances. In magnets, for example, spins are collectively arranged in the same direction, and in antiferromagnets they are arranged in an up-down, up-down pattern.

At very low temperatures, quantum effects become more prominent, and this causes electrons to arrange their spins collectively in most materials, even those where spins would point in random directions at room temperature. Quantum spin liquids are a counterexample where spins do not point in a definite direction — even up or down — no matter how cold the material becomes.

“A quantum spin liquid, by its very nature, is an example of a fractionalized state of matter,” said Nevidomskyy, associate professor of physics and astronomy and a member of both the Rice Quantum Initiative and the Rice Center for Quantum Materials (RCQM). “The individual excitations are not spin flips from up to down or vice versa. They’re these bizarre, delocalized objects that carry half of one spin degree of freedom. It’s like half of a spin.”

Nevidomskyy was part of the 2019 study led by Rice experimental physicist Pengcheng Dai that found the first evidence that cerium zirconium pyrochlore was a quantum spin liquid. The team’s samples were the first of their kind: Pyrochlores because of their 2-to-2-to-7 ratio of cerium, zirconium and oxygen, and single crystals because the atoms inside were arranged in a continuous, unbroken lattice. Inelastic neutron scattering experiments by Dai and colleagues revealed a quantum spin liquid hallmark, a continuum of spin excitations measured at temperatures as low as 35 millikelvin.

“You could argue that they found the suspect and charged him with the crime,” Nevidomskyy said. “Our job in this new study was to prove to the jury that the suspect is guilty.”

Nevidomskyy and colleagues built their case using state-of-the-art Monte Carlo methods, exact diagonalization as well as analytical tools to perform the spin dynamics calculations for an existing quantum mechanical model of cerium zirconium pyrochlore. The study was conceived by Nevidomskyy and Max Planck’s Roderich Moessner, and the Monte Carlo simulations were performed by Florida State’s Anish Bhardwaj and Hitesh Changlani with contributions from Rice’s Han Yan and Max Planck’s Shu Zhang.

“The framework for this theory was known, but the exact parameters, of which there are at least four, were not,” Nevidomskyy said. “In different compounds, these parameters could have different values. Our goal was to find those values for cerium pyrochlore and determine whether they describe a quantum spin liquid.

“It would be like a ballistics expert who is using Newton’s second law to calculate a bullet’s trajectory,” he said. “Newton’s law is known, but it only has predictive power if you supply the initial conditions like the bullet’s mass and initial velocity. Those initial conditions are analogous to these parameters. We had to reverse engineer, or sleuth out, ‘What are those initial conditions inside this cerium material?’ and, ‘Does that match the prediction of this quantum spin liquid?'”

To build a convincing case, the researchers tested the model against thermodynamic, neutron-scattering and magnetization results from previously published experimental studies of cerium zirconium pyrochlore.

“If you just have one piece of evidence, you might inadvertently find several models that still fit the description,” Nevidomskyy said. “We actually matched not one, but three different pieces of evidence. So, a single candidate had to match all three experiments.”

Some studies have implicated the same type of quantum magnetic fluctuations that arise in quantum spin liquids as a possible cause for unconventional superconductivity. But Nevidomskyy said the computational findings are primarily of fundamental interest to physicists.

“This satisfies our innate desire, as physicists, to find out how nature works,” he said. “There’s no application I know of that might benefit. It’s not immediately tied to quantum computing, although ideas exist for using fractionalized excitations as a platform for logical qubits.”

He said one particularly interesting point for physicists is the deep connection between quantum spin liquids and the experimental realization of magnetic monopoles, theoretical particles whose potential existence is still debated by cosmologists and high-energy physicists.

“When people talk about fractionalization, what they mean is the system behaves as if a physical particle, like an electron, splits into two halves that kind of wander around and then recombine somewhere later,” Nevidomskyy said. “And in pyrochlore magnets such as the one we studied, these wandering objects moreover behave like quantum magnetic monopoles.”

Magnetic monopoles can be visualized as isolated magnetic poles like either the upward or downward facing pole of a single electron.

“Of course, in classical physics one can never isolate just one end of a bar magnet,” he said. “The north and south monopoles always come in pairs. But in quantum physics, magnetic monopoles can hypothetically exist, and quantum theorists constructed these almost 100 years ago to explore fundamental questions about quantum mechanics.

“As far as we know, magnetic monopoles don’t exist in a raw form in our universe,” Nevidomskyy said. “But it turns out that a fancy version of monopoles does exist in these cerium pyrochlore quantum spin liquids. A single spin flip creates two fractionalized quasiparticles called spinons that behave like monopoles and wander around the crystal lattice.”

The study also found evidence that monopole-like spinons were created in an unusual way in cerium zirconium pyrochlore. Due to the tetrahedral arrangement of magnetic atoms in the pyrochlore, the study suggests they develop octupolar magnetic moments — spin-like magnetic quasiparticles with eight poles — at low temperatures. The research showed spinons in the material were produced from both these octupolar sources and more conventional, dipolar spin moments.

“Our modeling established the exact proportions of interactions of these two components with one another,” Nevidomskyy said. “It opens a new chapter in the theoretical understanding of not only the cerium pyrochlore materials but of octupolar quantum spin liquids in general.”

The research was funded by the National Science Foundation’s Division of Materials Research (1917511, 1644779, 2046570, 1742928, 1748958, 1607611), the Welch Foundation (C-1818) and the German Research Foundation (SFB-1143-247310070, EXC-2147-390858490). The scientists thank the Kavli Institute for Theoretical Physics and Aspen Center for Physics where a portion of the research was performed.

RCQM leverages global partnerships and the strengths of more than 20 Rice research groups to address questions related to quantum materials. RCQM is supported by Rice’s offices of the provost and the vice provost for research, the Wiess School of Natural Sciences, the Brown School of Engineering, the Smalley-Curl Institute and the departments of Physics and Astronomy, Electrical and Computer Engineering, and Materials Science and NanoEngineering.

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4D composite printing can improve the wings of drones

The aviation industry faces multiple pressures from higher fuel costs and increased scrutiny over the environmental and quality-of-life impacts from its aircraft. Researchers are looking for new methods of keeping expenses down while improving overall efficiency, and the relatively new market of unmanned aerial vehicles (UAVs) — or drones — is no exception.

UAVs are occupying an ever-growing space in aviation circles. In a new paper published in the journal Composite Structures, Suong Hoa and his student co-authors present a method to make UAV wings cheaper to manufacture and more efficient in flight.

Hoa is a professor of mechanical, industrial and aerospace engineering at the Gina Cody School of Engineering and Computer Science. Using a technique Hoa pioneered known as 4D printing of composites, the authors performed a feasibility study on the application of a new way to manufacture adaptive compliant trailing edge (ACTE) morphing wings. The experimental technology replaces the commonly used hinged wing flap with one that is attached to the main wing body but can bend up to 20 degrees.

“Our paper shows that a UAV using this kind of wing can support a good amount of load for small or medium-sized vehicles,” says Hoa, director of the Concordia Centre for Composites.

Using material reactions

4D printing is similar to 3D printing except that it changes materials from location to location. The separate material is used because it is reactive to a particular stimulus: water, cold or heat, for instance. Initial printing is done on a flat surface that is then exposed to the stimulus, causing a reaction, and changing the surface shape. The fourth dimension refers to the altered configuration of the once-flat material.

Composite 4D printing is more complex. Rather than using a soft, dough-like substance commonly used by 3D and 4D printers, it relies on a sinewy combination of long, fine filaments held in place by a resin. Each filament is only 10 microns thick — about 1/10th the diameter of a human hair. The 4D composite printer unrolls its filament-resin mixture in ultra-thin layers at 90-degree angles from each other. The layers are then compacted together and cured in an oven at 180˚C, and then cooled down to 0˚C, creating an object that is stiff but not brittle.

As the authors explain in their paper, this allows them to create a section of material with a uniform curvature that is sandwiched in between the wing flap’s upper and lower surfaces. It is flexible and strong enough to support the 20-degree deformation the wing requires for flight maneuverability.

“The idea is to have a wing that can change its shape easily during flight, which would be a great benefit as compared to fixed-wing aircraft,” Hoa explains.

He believes the composite 4D technology has great potential for all manner of applications. Its products’ transportability, he says, is a major draw.

“Because it is flat, it is easy to package to send to remote areas, from Canada’s Far North to outer space.”

Video of Suong Hoa discussing 4D printing of composites: https://youtu.be/j7k-ZjG0qPE

Story Source:

Materials provided by Concordia University. Original written by Patrick Lejtenyi. Note: Content may be edited for style and length.

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How to Choose Commitment-Worthy Creative Projects

When considering which new projects to implement, I look at a number of factors, especially if it’s a creative project like a new course or workshop:

Heart

Is this a path with a heart?

Is it likely to be fun, interesting, and growth-oriented?

Does this idea have enough energy to generate sustainable motivation all the way through to completion? Or could this bog down into a demotivating slog that leaves me feeling drained and depleted?

Opportunity

Is this a genuine opportunity?

Is there meaningful demand for it?

If it’s an idea for serving others in some way, is there clear enough evidence that people would appreciate having it implemented?

Personal Fit

Does this idea play to my strengths?

Is this a match for my skills or for a path of skill development that appeals to me?

Do I think I can do a uniquely good job with this?

Does this feel like a personal invitation or assignment from life or the universe? Or could lots of other people do this just as well or even better?

Ripples

What kind of ripples might this idea generate?

Is it limited and localized or potentially expansive?

Is it time-limited or timeless?

How constrained is the potential upside?

Future Self

How will my future self likely feel about this project?

Is this a gift for him that he’ll cherish and appreciate having done?

Do I want the lifetime memory of having done this?

How will this project help me grow, and what will it do for my ongoing character development?

Do I care about becoming the person who has this completed project in his past?

Harmony

Which parts of me object to this project? What do they have to say about it? What specific aspects do they object to?

Can I dialogue with them and intelligently resolve their objections to their satisfaction, potentially modifying the approach, so they can feel aligned with it?

Can I flow into this project with strong inner harmony and commitment, or will some parts of me resist and sabotage or derail it?

Problems

What types of problems am I likely to encounter along the way?

Do I find these problems interesting and compelling?

Do these problems light up my mind and make me feel deeply engaged?

Do I look forward to solving them?

Am I fascinated by these problems enough to care about solving them?

Do these feel like worthy problems to solve?

Can I summon the patience to solve them intelligently?

Evidence of Support

Am I seeing evidence of support for this idea from life or reality?

Any hints, signs, or synchronicities of potentially greater alignment?

Will I have to self-power this project, or is reality making it clear that it will back me up with abundant support and resources if I do this?

Stimulation

Would the inter-dimensional aliens find this idea entertaining?

Or would they find it drab, boring, or tedious?

Will they be enthralled if I go for it, or will they throw popcorn at the screen in disgust?

This last part is a reference to a frame that I shared in the Deep Abundance Integration course, which many people found useful for thinking about their goals.

Yes, I really do ask these sorts of questions regarding the alien perspective too because it helps me make better decisions. If I think a project would bore any aliens, that’s a hint that it may not be sustainably motivating for me either. It means I need to explore how to make it edgier and more stimulating, so I feel very awake and alive while implementing it.

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Aging Gracefully Can Be Scary, But Psychologists Reveal How To Shift Your Narrative

The image I see of myself in my mind is that of a photograph taken in 1992, when I was 22 years old. The photo is of me and my friend, Sean. I’d gone with him to have his professional headshots taken (he’s an actor and songwriter) and the photographer offered to snap a few of the two of us. The frame is a close-up shot of both of our faces. I am sitting on his lap, my arm around his neck, my eyes fixed on something past the camera. Sean stares directly into the lens with all the confidence and defiance of youth. We are both so very, very young.

While I know, as a relatively intelligent, mostly adjusted, grown woman, that I no longer look like the person in that photo, what I see in the mirror these days always takes me a bit by surprise. It is my mother’s face that stares back at me, a face that sparks both distress and grief. When and how did I start to look so old?

“There’s a certain amount of sadness, grief when we look at our faces [as we get older] — I should mention I’m 73,” Naomi Woodspring, an author and gerontologist, told me. “Yet notions, ideas about what we see in the mirror are seen through the lens of our current age.”

And these ideas change as we change.

Intellectually, I know I cannot magically remove all the effects of aging from my skin and body, no matter what advertisers and (often) the media want me to believe. I also know there must be some way to let go of my inner psychological equation that youth equals beauty and that, without it, I am no longer attractive. I’m not sure, though, how to go about changing my outdated definitions of these things.

I talked with three psychologists and researchers about ways to alter the narrative running through my head, the one that prattles on about how I look old and how unattractive the wrinkles and sags in my face are.

How psychologists approach aging

“First, you have to make a decision to accept yourself and accept aging. Think about what prevents you from doing that. You may think, ‘I’m not attractive, I’m invisible.’ But what, really, does this keep you from doing?” asked Ann Kearney-Cooke, an author, lecturer and director at the Cincinnati Psychotherapy Institute.

“How do you really want to spend your time?” she asked me.

I don’t especially want to think about how I look. It was never something that really bothered me or occupied my time, at least not until a couple of years ago when I turned 50. Now I’m often overly focused on the gray hairs and the lines and creases on my face. I want to change this narrative in my head.

Cognitive behavioral therapy and thought restructuring

Goali Saedi Bocci, a licensed clinical psychologist and adjunct faculty at Pacific University School of Graduate Psychology, explained to me the process of cognitive behavioral therapy and restructuring thoughts. Essentially, she explained how I could start to alter the story in my head, the one that continually laments my apparent untimely demise.

Cognitive behavioral therapy is a lot about changing our thoughts, Saedi Bocci told me ― which isn’t an easy thing to do, at least not for me. I have a very loud and insistent voice in my head that, at times, spews all sorts of negative things. I suspect many of us do. It’s difficult to change that perspective. That, though, is exactly what I needed to do.

“Cognitive restructuring, cognitive reframing, and thought distortions are challenging,” Saedi Bocci said. One kind of thought distortion is catastrophizing, she explained. An example would be taking notice of a line or a wrinkle and catastrophizing by thinking something like, “My aging is premature. By the time I’m a specific age, I’m going to look a specific way.”

The subtext, of course, being that that specific way will be old and no longer attractive.

“One thing doesn’t have to lead to this rabbit hole of thoughts,” continued Saedi Bocci. “I can make an observation, take a step back and say, ’OK, I’m assessing, yes, this is a true physical change. I’m not going to say this wrinkle isn’t here, but I can change the meaning of it.’”

This goes hand in hand with practicing mindfulness and nonjudgment, Saedi Bocci explained. “We’re so obsessed with good, bad, pretty, ugly. If we take back the label, remove ourselves and not make a judgment; well, that’s the healthiest place we can be.”

As soon as we label something as good or bad, delicious or disgusting, or whatever, it becomes that. Words are incredibly powerful. As Kearny-Cooke put it, “If you move around the world thinking you’re pitiful, then people will see you that way.”

“In my research, most people readily admitted that there was a certain amount of grief connected with aging.”

– Naomi Woodspring, an author and gerontologist

“And so,” said Saedi Bocci, “being aware and intentional with our words, with our thoughts is powerful. Look at the story behind it. What does beauty mean? What does attractiveness mean?”

By thinking about these things, about the backstory of them, I realized that I was capable of changing some of my preconceived notions, or cognitively restructuring my thoughts.

As Saedi Bocci explained, cognitive restructuring means taking a pre-formed thought ― one based on societal norms, values, expectations or things your parents may have taught you — “into a court of law and arguing all sides of it. Is this something that’s true? Is it untrue? Is it helpful? Is it unhelpful?”

These kinds of questions are important when there is a level of cognitive rigidity, such as believing that only one thing — youth — equals beauty.

To combat this rigidity, talk and think about other forms of beauty. “Ask yourself, what is leading to this? Where have you gotten those messages from?” she continued.

She told me I needed to find a way in, the one place where I could begin the unraveling of whatever narrative has been looping through my mind in an unhealthy way. (I confess, at times, there are several.)

Shifting the narrative

One way to begin shifting your narrative is to figure out what your signature strengths are, Kearny-Cooke told me. This could be a great smile or great legs. Think about how you enjoy them and/or show them, she suggested.

“Also, challenge yourself to stop seeing yourself through men’s eyes,” she added. That, as Kearny-Cooke said, is often a difficult thing. But what if I redefined that? She suggested I keep track each day of any thing I did that made me feel good about my body and/or myself — things like taking a walk or learning something new or planning a trip I wanted to take.

One kind of thought distortion is catastrophizing, when one fixates on a line or a wrinkle and thinks something like, "My aging is premature. By the time I’m a specific age, I’m going to look a specific way."

Klaus Tiedge via Getty Images

One kind of thought distortion is catastrophizing, when one fixates on a line or a wrinkle and thinks something like, “My aging is premature. By the time I’m a specific age, I’m going to look a specific way.”

She also suggested I alter my inner monologue to include phrases like: “I’m eating healthy, I’m moving. I have good relationships with people. I have goals. I’m proud of what I’ve done in my life.”

“We all are proud of some of the things we did and not so proud of others,” Kearny-Cooke said, “but if we really try to tell ourselves a story, a new narrative about our life story, we can decide what the next chapters will look like.”

One way to help do this is that, instead of getting together with friends and lamenting our culture and how older women do not seem to be as valued as younger ones, spend that time with your friends going on a hike, planning adventures (I’m partial to ones of the cycling variety) or learning a new language.

“Remember, curiosity, courage and adventure-seeking are all youthful qualities,” she added. As I pondered this, I thought about another photograph of myself, taken a couple of years ago during a monthslong cycling trip across Central Asia. In this photo, I am laughing. I haven’t showered or seen a mirror in days. And I do not think I look old.

All three of the experts I spoke with emphasized the importance of creating my own narrative about my life. Kearny-Cooke described it as “honoring all the things you’ve overcome, the things you may still be struggling with, and the knowledge you’ve gained through your whole life — really honoring them,” she said. “And then, make a decision about what you want this time to look like. Ask yourself how you can gain power.”

Who do you want to be?

As most of us know, we can’t control a culture’s or other people’s reactions to us. We can, though, decide to be somebody that people want to spend time with and get to know. We need to decide who we want to be.

“Am I going to speak out about issues or values I have? Am I free from that evolutionary selection of the young woman? Thank God I’m out of that. I’m free of that. I can create my own version of a middle-aged woman,” said Kearny-Cooke.

Her suggestion on how to begin to accomplish this: Make deliberate choices and write them down every day until eventually they become a mindset.

“Regardless of how you live your life, you bring that many years of experience into that face in the mirror,” Woodspring told me. “In my research, most people readily admitted that there was a certain amount of grief connected with aging.”

“But there was also acceptance,” she continued, “And I believe that the acceptance comes from all of those years of life experience and is part of what happens when people realize they have lived more life than they have left to live. We begin to see the world differently. We begin to see ourselves differently.”

Essentially, what I think she wanted me to know was that I am at the beginning of this transition into what I guess could be called ‘old age,’ that, eventually, I would make what she called a pivot, a pivot where I would begin to see myself differently.

A trick to help you pivot your mindset

Kearny-Cooke has a rowboat metaphor that she uses when she counsels people about beauty, aging and acceptance. Imagine you’re in a rowboat and the rudder that steers the boat is stuck. There’s also water in the bottom of the boat. You have a bucket with holes in it, but still you keep trying to bail out the water. You spend all your time and energy on the water problem that you can never solve, while completely ignoring the fact that the rudder on the boat is stuck, and is really what you should be paying attention to.

What I take from this is that I need to stop bailing out the water. There is nothing I can do about aging, but what I can do is focus on regaining control of my narrative and accepting that I cannot stop the effects of aging.

Though Sean and I are not as close as we once were, we still check in occasionally. In the early ’90s, we’d go out dancing two or three times a week. About 10 years ago, I sent him an email rambling about those nights we spent in questionable bars and sketchy music halls and lamenting the absence of adequate dance time in my current life.

He wrote back, simply, “I am always, always dancing with you.”

And I think that, for me, that is part of how I begin to accept aging. It’s not that I want to be “young” again or go back and relive any of it (God forbid), but I find comfort in believing that there is a 22-year-old me always and forever dancing with a 23-year-old Sean. Her existence helps me to recognize (and honor) all that has transpired over the past 30 years, as well as this new version of myself — who may have wrinkles, gray hair and the face of her mother, but is still alive, learning and growing and becoming, and maybe, maybe also a version of “beautiful.”

And as I write these words, perhaps I am taking the first step to making them so, of deciding what the rest of the story of my life will be.

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Poor eyesight unfairly mistaken for brain decline

Millions of older people with poor vision are at risk of being misdiagnosed with mild cognitive impairments, according to a new study by the University of South Australia.

Cognitive tests that rely on vision-dependent tasks could be skewing results in up to a quarter of people aged over 50 who have undiagnosed visual problems such as cataracts or age-related macular degeneration (AMD).

Age-related macular degeneration is a leading cause of vision loss for older people. It doesn’t cause complete vision loss, but severely impacts people’s ability to read, drive, cook, and even recognise faces. It has no bearing on cognition.

UniSA researchers recruited 24 participants with normal vision to complete two cognitive tests — one involving vision-dependent reactive tasks and the other based on verbal fluency.

Using a set of goggles to simulate AMD, the participants scored far lower on the cognitive test involving reaction time tasks than without the goggles. There was no statistical difference with verbal fluency tests when using the goggles.

The study has been published in Scientific Reports.

UniSA PhD candidate Anne Macnamara, who led the study, says the results are a stark reminder that visual impairments — which affect approximately 200 million people worldwide over the age of 50 — unfairly affect cognitive scores when tests involve visual abilities.

“A mistaken score in cognitive tests could have devastating ramifications, leading to unnecessary changes to a person’s living, working, financial or social circumstances,” Macnamara says.

“For example, if a mistaken score contributed to a diagnosis of mild cognitive impairment, it could trigger psychological problems including depression and anxiety.

“People with AMD are already experiencing multiple issues due to vision loss and an inaccurate cognitive assessment is an additional burden they don’t need.”

Visual impairments are often overlooked in research and clinical settings, the UniSA researchers say, with reduced vision underestimated in up to 50 per cent of older adults.

And with this figure expected to increase in line with an ageing population, it is critical that neuro-degenerative researchers control for vision when assessing people’s cognition.

“Mobile apps can now be used to overlay simulated visual impairments onto test materials when piloting their stimuli,” Macnamara says.

“Also, researchers can incorporate quick and simple screening tasks before getting people to do cognitive tests. Verbal tasks should always be part of the assessment, too.”

Story Source:

Materials provided by University of South Australia. Note: Content may be edited for style and length.

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Deborah James: My body can’t continue, says You, Me and the Big C podcast host

The podcast host says she is now receiving hospice care at home for her terminal bowel cancer.

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Mental illness: ‘Saddest case’ of woman sent to prison not hospital

People with serious mental health issues find it difficult to access help if they are in prison.

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Covid: Fourth-dose jab trial shows good boost

But scientists say any short-term protection against infection is likely to fall away quickly.

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