Call to screen newborn babies for 22q genetic condition

Researchers say 22q is “massively misdiagnosed” but can cause serious physical and psychological issues.

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Health24.com | The 5 biggest causes of digestive issues over the festive season

For most of us the upcoming holiday season is something to look forward to. For others, though, it presents the prospect of uncomfortable digestive issues.

Do you belong to the second group? Don’t worry! We identified the biggest culprits – and what you can do to avoid those nasty digestive pitfalls.

1. Alcohol

Festive champagne, cold beers after work, countless bottles of wine – while this sounds idyllic, excess consumption of alcohol can trigger several digestive issues. Not only can alcohol upset a stomach that’s already susceptible to discomfort (especially in those with IBS), but it can also weaken the body’s immune response, making it easier for you to contract a stomach bug. Doesn’t sound all that cheery now, does it?

Alcohol can also trigger heartburn – often associated with gastroesophageal reflux disease (GOERD), which relaxes the muscle that keeps food in the stomach. Alcohol also irritates the stomach lining, which can lead to nausea.

Are you travelling to an area where you need to take an anti-malaria prophylaxis? These medications affect how the liver metabolises alcohol, which can result in nausea the next day.

What to do: You don’t have to be a complete teetotaller to beat the bloat, heartburn and whatever goes with it. Choose your tipple wisely – avoid fizzy drinks and those with a high sugar content. Don’t mix your alcoholic beverages and drink water in between to limit your intake and avoid dehydration.

Friends drinking shots

2. Large portions

Festivities, end-of-year parties and family visits often mean bigger portions of indulgent foods and desserts. There are many after effects of eating too much, including nausea, indigestion, heartburn, bloating and abdominal pain – as our bodies struggle to digest more food than usual.

What to do: Eat mindfully – stick to your absolute favourite foods and eat smaller portions of foods high in sugar and fat. Focus on the people and conversations around you. Allow some time before going for a second portion – you might even not be hungry anymore. 

large meat bone on plate

3. Foods high in fat and sugar

Desserts, rich meats, fried canapes – all of these contain more sugar and/or fat that is good for you and your body might have a hard time digesting these foods. Studies have shown that meals high in fat are often linked to gastroparesis, a disorder that slows or stops the digestion of food. 

What to do: Stick to small portions of indulgent foods and focus on enjoyment. Fill up on high-fibre healthy foods such as fresh fruit and vegetables – this will help curb cravings and keep you fuller for longer.

Feeling sick after eating too much cake

4. Stress

Looming deadlines, financial worries and end-of-year anxiety can all cause digestive problems. According to the Anxiety and Depression Association of America (AADA), anxiety can literally make you feel sick to your stomach and manifest through symptoms such as stomach cramps. Studies have also linked gastrointestinal symptoms with emotional stress.

What to do: Identify your most common stress-triggers during the holiday season. If it’s going to involve busy shops, avoid the situation by going during a quieter time or doing your shopping online. If it’s travelling, control the situation by planning ahead. Try to avoid family conflict during this time of year by resolving unspoken issues. Get ahead of deadlines if you can and make time for regular self-care, whether it’s exercise, quiet reading time or meditation.

woman stressed at her desk over festive season

5. Inactivity

Regular exercise is important to keep your digestive system functioning optimally. Physical activity can also help combat stress that may lead to digestive problems. When you’re inactive, your digestive system becomes sluggish and may struggle to process copious amounts of holiday food.

What to do: While there’s no harm in taking a break from your normal workout routine, you can still incorporate exercise during your holiday by going on daily walks, playing games with the children or swimming – there are so many options.

lazy man on couch

Image credits: iStock

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Health24.com | 6 better ways to lose weight, recommended by a psychologist

Always looking for new ways to lose weight, but nothing seems to work? Next question: Ever wondered how a mind expert would weigh in on your weight-loss goals? Glenn Mackintosh is a leading psychologist and an expert in weight management psychology. Here is his take on the best ways to lose weight for you.

1. Be honest with yourself

“First off, ask if you’re taking care of yourself. Are you eating nutritiously – not perfectly – and moving your body regularly and getting enough sleep? If so, your body’s going to find its natural weight. When people are trying to lose those last five or 10 kilos, sometimes what they’re actually doing is fighting against their body. If you’ve spent five years trying to get there, it might be that what you actually want is not to lose five kilos, but to improve your body image. That comes from embracing the body you have now from a place of love and acceptance.”

Read more: 7 ways to shift those last few stubborn kilos, according to a dietician

2. Eat more mindfully

“People who manage their weight best in the long term are intuitive eaters. They ask what their body is telling them – if it’s hungry, it’s saying I need to eat nutritious food. When it starts to get full, that’s a natural sign to stop. How is a food going to affect them? Not is it ‘good’ or ‘bad’, but will it make them feel satisfied and energised or sluggish and tired? Intuitive eaters don’t have avoided foods; they just listen to their bodies. Be present, pause and ask, ‘Is this food a good choice for me?’”

3. Get your mojo back

“Hypnotherapy is fantastic for motivation. It’s not someone controlling your mind; it’s a process you go through with a qualified hypnotherapist that allows your mind to open to new ideas that are right for you on deeper levels. It’s very relaxing. Try a light self-hypnotic process at home – close your eyes, take a few deep breaths and imagine how you want the day to go. For example, you imagine yourself feeling stressed and tired at work, but then going for an afternoon walk and feeling good. In a relaxed state, you’re suggesting to yourself that you’ll actually do that.”

Read more: 4 easy ways to eat healthy and never go hungry

4. Expand the picture

“For most people, their ‘why’ or the reason they’re making changes is weight loss and that’s not always helpful long term. As soon as you get [to your goal], you often lose motivation. Your ‘why’ can be important, but try zooming out from the number on the scale and looking at all of the ‘whys’ – the multiple reasons it’s wonderful to take great care of yourself, like health and how it makes you feel.”

5. Tune into emotional eating

“Part of intuitive eating is noticing all of the other reasons we eat, whether it’s just because a food is there or you’re emotional. Acknowledge that emotional eating won’t make you feel better and use it as a signal – ‘I’m having a food craving, I’m not hungry; let’s look at what’s behind that craving.’ Not sure what you’re feeling? Just start writing whatever comes into your mind. After a page of two, you’ll get to the issue.”

Read more: The 7 best tips to lose those extra kilos, from a personal trainer

6. Tap away cravings

One of the most interesting ways to lose weight… Yep, we said tap. But stay with us: This is a legitimate technique Mackintosh uses to help people curb food hankerings. The gist? When you have a craving, tapping on certain acupressure points on your face and body (like the corner of your eye, under your collarbone and along the side of your body) sends a calming message to your brain, which helps you think more clearly and make better choices. “When you do it, you can feel the craving just clear away,” explains Mackintosh.

Science is on his side: A Bond University team scanned the brains of study participants before and after four weeks of DIY tapping therapy. They saw that the brain area that activates hunger and cravings settled down after the month of people getting their tap on.

This article was originally published on www.womenshealthsa.co.za

Image credit: iStock 

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Type 2 diabetes affects 7,000 under-25s in England and Wales

Most are being treated by GPs and the figure is 10 times the number reported previously, a charity says.

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‘Vast gap’ in child mental health support in England

England’s young are being failed, children’s commissioner warns, as a major report is set to come out.

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Lake Erie algal blooms ‘seeded’ internally by overwintering cells in lake-bottom sediments

Western Lake Erie’s annual summer algal blooms are triggered, at least in part, by cyanobacteria cells that survive the winter in lake-bottom sediments, then emerge in the spring to “seed” the next year’s bloom, according to a research team led by University of Michigan scientists.

The findings advance scientists’ understanding of the basic biology driving the annual summer blooms, which are both an unsightly nuisance and a potential public health hazard. In addition, the work identifies a mechanism to explain the rapid increase in Lake Erie bloom size and spatial extent in early summer.

“The study suggests that the initial buildup of blooms can happen at a much higher rate and over a larger spatial extent than would otherwise be possible, due to the broad presence of viable cells in sediments throughout the lake,” said study lead author Christine Kitchens, a research technician at the Cooperative Institute for Great Lakes Research (CIGLR) at U-M.

“These overwintering cells can quickly be entrained within the water column — particularly after a storm event — and start actively growing.”

The study is scheduled for publication Nov. 21 in the journal PLOS ONE. Kitchens conducted the work for her master’s thesis at the School for Environment and Sustainability. The other authors are Thomas Johengen, associate director of CIGLR, and Timothy Davis, an associate professor at Bowling Green State University.

Western Lake Erie has long been plagued by harmful algal blooms, or HABs, fueled largely by nutrients in agricultural runoff. The blooms are composed largely of Microcystis, a genus of colony-forming cyanobacteria that sometimes produce liver toxins called microcystins.

Lake Erie is a drinking water source for 11 million people. In 2014, a cyanobacteria bloom infiltrated the Toledo water intake, resulting in a two-day “do not drink” advisory for more than 400,000 people.

This year’s bloom was relatively small and fell short of scientists’ predictions. Johengen said scientists should consider incorporating the new information about overwintering Microcystis cells into the computer models used to make the annual bloom forecasts.

Previous studies of other temperate lakes around the world indicate that overwintering populations of Microcystis cells possess high survivability and can seed seasonal blooms. However, the exact contribution of cells in sediments has been less clear.

For Lake Erie, one 2009 study concluded that the Maumee and Sandusky rivers were a potential source of the Microcystis cells — known to scientists as “inocula” because they inoculate the lake — that initiate the summer cyanobacteria blooms. But other work suggests that river populations do not seed the Erie blooms.

The new U-M-led study is believed to be the first to assess both the abundance and viability of overwintering Microcystis cells from sediments in the Great Lakes.

The researchers collected sediment-core samples at 16 sites covering 145 square miles in the portion of western Lake Erie where harmful cyanobacteria blooms are most prevalent and persistent. The sampling was done over a two-year period in water depths ranging from 10 to 30 feet.

Back in the lab, genetic tests revealed both the total abundance of Microcystis cells and the fraction of those cells that were potentially toxic. Then experiments were conducted to assess the viability of overwintering Microcystis cells and to grow some of the cells in the lab.

While Microcystis cell concentrations declined significantly over the winter, the cells that survived remained viable — meaning they were capable of growing — the following spring. In addition, the growth experiments showed that potentially toxic Microcystis strains were successfully cultured at a slightly higher rate than nontoxic strains.

That result could help explain a previous observation by the National Oceanic and Atmospheric Administration’s Lake Erie monitoring program: that the percentage of potentially toxic Microcystis cells is highest during the early stages of a bloom and declines throughout the summer.

Johengen said it’s not yet known whether overwintering Microcystis cells pick up vital nutrients from the sediments and use those nutrients to fuel their early season growth spurt. If that’s happening, it could complicate efforts to curb Lake Erie blooms by reducing fertilizer runoff from croplands, he said.

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New ‘smart’ material with potential biomedical, environmental uses

Brown University researchers have shown a way to use graphene oxide (GO) to add some backbone to hydrogel materials made from alginate, a natural material derived from seaweed that’s currently used in a variety of biomedical applications. In a paper published in the journal Carbon, the researchers describe a 3-D printing method for making intricate and durable alginate-GO structures that are far stiffer and more fracture resistant that alginate alone.

“One limiting factor in the use of alginate hydrogels is that they’re very fragile — they tend to fall apart under mechanical load or in low salt solutions,” said Thomas Valentin, a Ph.D. student in Brown’s School of Engineering who led the work. “What we showed is by including graphene oxide nanosheets, we can make these structures much more robust.”

The material is also capable of becoming stiffer or softer in response to different chemical treatments, meaning it could be used to make “smart” materials that are able to react to their surroundings in real time, the research shows. In addition, alginate-GO retains alginate’s ability to repel oils, giving the new material potential as a sturdy antifouling coating.

The 3-D printing method used to make the materials is known as stereolithography. The technique uses an ultraviolet laser controlled by a computer-aided design system to trace patterns across the surface of a photoactive polymer solution. The light causes the polymers to link together, forming solid 3-D structures from the solution. The tracing process is repeated until an entire object is built layer-by-layer from the bottom up. In this case the polymer solution was made using sodium alginate mixed with sheets of graphene oxide, a carbon-based material that forms one-atom-thick nanosheets that are stronger pound-for-pound than steel.

One advantage to the technique is that the sodium alginate polymers link through ionic bonds. The bonds are strong enough to hold the material together, but they can be broken by certain chemical treatments. That gives the material the ability to respond dynamically to external stimuli. Previously, the Brown researchers showed that this “ionic crosslinking” can be used to create alginate materials that degrade on demand, rapidly dissolving when treated with a chemical that sweeps away ions from the material’s internal structure.

For this new study, the researchers wanted to see how graphene oxide might change mechanical properties of alginate structures. They showed that alginate-GO could be made twice as stiff as alginate alone, and far more resistant to failure through cracking.

“The addition of graphene oxide stabilizes the alginate hydrogel with hydrogen bonding,” said Ian Y. Wong, an assistant professor of engineering at Brown and the paper’s senior author. “We think the fracture resistance is due to cracks having to detour around the interspersed graphene sheets rather than being able to break right though homogeneous alginate.”

The extra stiffness enabled the researchers to print structures that had overhanging parts, which would have been impossible using alginate alone. Moreover, the increased stiffness didn’t prevent alginate-GO also from responding to external stimuli like alginate alone can. The researchers showed that by bathing the materials in a chemical that removes its ions, the materials swelled up and became much softer. The materials regained their stiffness when ions were restored through bathing in ionic salts. Experiments showed that the materials’ stiffness could be tuned over a factor of 500 by varying their external ionic environment.

That ability to change its stiffness could make alginate-GO useful in a variety of applications, the researchers say, including dynamic cell cultures.

“You could imagine a scenario where you can image living cells in a stiff environment and then immediately change to a softer environment to see how the same cells might respond,” Valentin said. That could be useful in studying how cancer cells or immune cells migrate through different organs throughout the body.

And because alginate-GO retains the powerful oil-repellant properties of pure alginate, the new material could make an excellent coating to keep oil and other grime from building up on surfaces. In a series of experiments, the researchers showed that a coating of alginate-GO could keep oil from fouling the surface of glass in highly saline conditions. That could make alginate-GO hydrogels useful for coatings and structures used in marine settings, the researchers say.

“These composite materials could be used as a sensor in the ocean that can keep taking readings during an oil spill, or as an antifouling coating that helps to keep ship hulls clean,” Wong said. The extra stiffness afforded by the graphene would make such materials or coatings far more durable than alginate alone.

The researchers plan to continue experimenting with the new material, looking for ways to streamline its production and continue to optimize its properties.

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Evolution: South Africa’s hominin record is a fair-weather friend

New research from an international team of scientists led by University of Cape Town isotope geochemist Dr Robyn Pickering is the first to provide a timeline for fossils from the caves within the Cradle of Humankind. It also sheds light on the climate conditions of our earliest ancestors in the area.

Published online in the journal Nature on 21 November 2018, the work corrects assumptions that the region’s fossil-rich caves could never be related to each other. In fact, the research suggests fossils from Cradle caves date to just six specific time periods.

“Unlike previous dating work, which often focused on one cave, sometimes even just one chamber of the cave, we are providing direct ages for eight caves and a model to explain the age of all the fossils from the entire region,” says Dr Robyn Pickering.

“Now we can link together the findings from separate caves and create a better picture of evolutionary history in southern Africa.”

The Cradle of Humankind is a World Heritage Site made up of complex fossil-bearing caves. It’s the world’s richest early hominin site and home to nearly 40% of all known human ancestor fossils, including the famous Australopithecus africanus skull nicknamed Mrs Ples.

Using uranium-lead dating, researchers analysed 28 flowstone layers that were found sandwiched between fossil-rich sediment in eight caves across the Cradle. The results revealed that the fossils in these caves date to six narrow time-windows between 3.2 and 1.3 million years ago.

“The flowstones are the key,” says Pickering. “We know they can only grow in caves during wet times, when there is more rain outside the cave. By dating the flowstones, we are picking out these times of increased rainfall. We therefore know that during the times in between, when the caves were open, the climate was drier and more like what we currently experience.”

This means the early hominins living in the Cradle experienced big changes in local climate, from wetter to drier conditions, at least six times between 3 and 1 million years ago. However, only the drier times are preserved in the caves, skewing the record of early human evolution.

Up until now, the lack of dating methods for Cradle fossils made it difficult for scientists to understand the relationship between East and South Africa hominin species. Moreover, the South African record has often been considered undateable compared to East Africa where volcanic ash layers allow for high resolution dating.

Professor Andy Herries, a co-author in the study at La Trobe University in Australia, notes that “while the South African record was the first to show Africa as the origin point for humans, the complexity of the caves and difficultly dating them has meant that the South African record has remained difficult to interpret.”

“In this study we show that the flowstones in the caves can act almost like the volcanic layers of East Africa, forming in different caves at the same time, allowing us to directly relate their sequences and fossils into a regional sequence,” he says.

Dr Pickering began dating the Cradle caves back in 2005 as part of her PhD research. This new publication is the result of 13 years of work and brings together a team of 10 scientists from South Africa, Australia and the US. The results return the Cradle to the forefront and open new opportunities for scientists to answer complex questions about human history in the region.

“Robyn and her team have made a major contribution to our understanding of human evolution,” says leading palaeoanthropologist Professor Bernard Wood, of the Center for the Advanced Study of Human Paleobiology at the George Washington University in the USA, who is not an author on the study.

“This is the most important advance to be made since the fossils themselves were discovered. Dates of fossils matter a lot. The value of the southern African evidence has been increased many-fold by this exemplary study of its temporal and depositional context.”

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Climate of small star TRAPPIST 1’s seven intriguing worlds

Not all stars are like the sun, so not all planetary systems can be studied with the same expectations. New research from a University of Washington-led team of astronomers gives updated climate models for the seven planets around the star TRAPPIST-1.

The work also could help astronomers more effectively study planets around stars unlike our sun, and better use the limited, expensive resources of the James Webb Space Telescope, now expected to launch in 2021.

“We are modeling unfamiliar atmospheres, not just assuming that the things we see in the solar system will look the same way around another star,” said Andrew Lincowski, UW doctoral student and lead author of a paper published Nov. 1 in Astrophysical Journal. “We conducted this research to show what these different types of atmospheres could look like.”

The team found, briefly put, that due to an extremely hot, bright early stellar phase, all seven of the star’s worlds may have evolved like Venus, with any early oceans they may have had evaporating and leaving dense, uninhabitable atmospheres. However, one planet, TRAPPIST-1 e, could be an Earthlike ocean world worth further study, as previous research also has indicated.

TRAPPIST-1, 39 light-years or about 235 trillion miles away, is about as small as a star can be and still be a star. A relatively cool “M dwarf” star — the most common type in the universe — it has about 9 percent the mass of the sun and about 12 percent its radius. TRAPPIST-1 has a radius only a little bigger than the planet Jupiter, though it is much greater in mass.

All seven of TRAPPIST-1’s planets are about the size of Earth and three of them — planets labeled e, f and g — are believed to be in its habitable zone, that swath of space around a star where a rocky planet could have liquid water on its surface, thus giving life a chance. TRAPPIST-1 d rides the inner edge of the habitable zone, while farther out, TRAPPIST-1 h, orbits just past that zone’s outer edge.

“This is a whole sequence of planets that can give us insight into the evolution of planets, in particular around a star that’s very different from ours, with different light coming off of it,” said Lincowski. “It’s just a gold mine.”

Previous papers have modeled TRAPPIST-1 worlds, Lincowski said, but he and this research team “tried to do the most rigorous physical modeling that we could in terms of radiation and chemistry — trying to get the physics and chemistry as right as possible.”

The team’s radiation and chemistry models create spectral, or wavelength, signatures for each possible atmospheric gas, enabling observers to better predict where to look for such gases in exoplanet atmospheres. Lincowski said when traces of gases are actually detected by the Webb telescope, or others, some day, “astronomers will use the observed bumps and wiggles in the spectra to infer which gases are present — and compare that to work like ours to say something about the planet’s composition, environment and perhaps its evolutionary history.”

He said people are used to thinking about the habitability of a planet around stars similar to the sun. “But M dwarf stars are very different, so you really have to think about the chemical effects on the atmosphere(s) and how that chemistry affects the climate.”

Combining terrestrial climate modeling with photochemistry models, the researchers simulated environmental states for each of TRAPPIST-1’s worlds.

Their modeling indicates that:

  • TRAPPIST-1 b, the closest to the star, is a blazing world too hot even for clouds of sulfuric acid, as on Venus, to form.
  • Planets c and d receive slightly more energy from their star than Venus and Earth do from the sun and could be Venus-like, with a dense, uninhabitable atmosphere.
  • TRAPPIST-1 e is the most likely of the seven to host liquid water on a temperate surface, and would be an excellent choice for further study with habitability in mind.
  • The outer planets f, g and h could be Venus-like or could be frozen, depending on how much water formed on the planet during its evolution.

Lincowski said that in actuality, any or all of TRAPPIST-1’s planets could be Venus-like, with any water or oceans long burned away. He explained that when water evaporates from a planet’s surface, ultraviolet light from the star breaks apart the water molecules, releasing hydrogen, which is the lightest element and can escape a planet’s gravity. This could leave behind a lot of oxygen, which could remain in the atmosphere and irreversibly remove water from the planet. Such a planet may have a thick oxygen atmosphere — but not one generated by life, and different from anything yet observed.

“This may be possible if these planets had more water initially than Earth, Venus or Mars,” he said. “If planet TRAPPIST-1 e did not lose all of its water during this phase, today it could be a water world, completely covered by a global ocean. In this case, it could have a climate similar to Earth.”

Lincowski said this research was done more with an eye on climate evolution than to judge the planets’ habitability. He plans future research focusing more directly on modeling water planets and their chances for life.

“Before we knew of this planetary system, estimates for the detectability of atmospheres for Earth-sized planets were looking much more difficult,” said co-author Jacob Lustig-Yaeger, a UW astronomy doctoral student.

The star being so small, he said, will make the signatures of gases (like carbon dioxide) in the planet’s atmospheres more pronounced in telescope data.

“Our work informs the scientific community of what we might expect to see for the TRAPPIST-1 planets with the upcoming James Webb Space Telescope.”

Lincowski’s other UW co-author is Victoria Meadows, professor of astronomy and director of the UW’s Astrobiology Program. Meadows is also principal investigator for the NASA Astrobiology Institute’s Virtual Planetary Laboratory, based at the UW. All of the authors were affiliates of that research laboratory.

“The processes that shape the evolution of a terrestrial planet are critical to whether or not it can be habitable, as well as our ability to interpret possible signs of life,” Meadows said. “This paper suggests that we may soon be able to search for potentially detectable signs of these processes on alien worlds.”

TRAPPIST-1, in the Aquarius constellation, is named after the ground-based Transiting Planets and Planetesimals Small Telescope, the facility that first found evidence of planets around it in 2015.

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Brain-computer interface enables people with paralysis to control tablet devices

Tablets and other mobile computing devices are part of everyday life, but using them can be difficult for people with paralysis. New research from the BrainGate* consortium shows that a brain-computer interface (BCI) can enable people with paralysis to directly operate an off-the-shelf tablet device just by thinking about making cursor movements and clicks.

In a study published November 21 in PLOS ONE, three clinical trial participants with tetraplegia, each of whom was using the investigational BrainGate BCI that records neural activity directly from a small sensor placed in the motor cortex, were able to navigate through commonly used tablet programs, including email, chat, music-streaming and video-sharing apps. The participants messaged with family, friends, members of the research team and their fellow participants. They surfed the web, checked the weather and shopped online. One participant, a musician, played a snippet of Beethoven’s “Ode to Joy” on a digital piano interface.

“For years, the BrainGate collaboration has been working to develop the neuroscience and neuroengineering know-how to enable people who have lost motor abilities to control external devices just by thinking about the movement of their own arm or hand,” said Dr. Jaimie Henderson, a senior author of the paper and a Stanford University neurosurgeon. “In this study, we’ve harnessed that know-how to restore people’s ability to control the exact same everyday technologies they were using before the onset of their illnesses. It was wonderful to see the participants express themselves or just find a song they want to hear.”

The investigational BrainGate BCI includes a baby aspirin-sized implant that detects the signals associated with intended movements produced in the brain’s motor cortex. Those signals are then decoded and routed to external devices. BrainGate researchers and other groups using similar technologies have shown that the device can enable people to move robotic arms or to regain control of their own limbs, despite having lost motor abilities from illness or injury. This study from the collaboration includes scientists, engineers and physicians from Brown University’s Carney Institute for Brain Science, the Providence Veterans Affairs Medical Center (PVAMC), Massachusetts General Hospital (MGH) and Stanford University.

Two of the participants in this latest study had weakness or loss of movement of their arms and legs due to amyotrophic lateral sclerosis (ALS), a progressive disease affecting the nerves in the brain and spine that control movement. The third participant was paralyzed due to a spinal cord injury. All were enrolled in a clinical trial aimed at assessing the safety and feasibility of the investigational BrainGate system.

For this study, neural signals from the BrainGate BCI were routed to a Bluetooth interface configured to work like a wireless mouse. The virtual mouse was then paired to an unmodified Google Nexus 9 tablet. The participants were then asked to perform a set of tasks designed to see how well they were able to navigate within a variety of commonly used apps, and move from app to app. The participants browsed through music selections on a streaming service, searched for videos on YouTube, scrolled through a news aggregator and composed emails and chats.

The study showed that participants were able to make up to 22 point-and-click selections per minute while using a variety of apps. In text apps, the participants were able to type up to 30 effective characters per minute using standard email and text interfaces.

The participants reported finding the interface intuitive and fun to use, the study noted. One said, “It felt more natural than the times I remember using a mouse.” Another reported having “more control over this than what I normally use.”

The researchers were pleased to see how quickly the participants used the tablet interface to explore their hobbies and interests.

“It was great to see our participants make their way through the tasks we asked them to perform, but the most gratifying and fun part of the study was when they just did what they wanted to do — using the apps that they liked for shopping, watching videos or just chatting with friends,” said lead author Dr. Paul Nuyujukian, a bioengineer at Stanford. “One of the participants told us at the beginning of the trial that one of the things she really wanted to do was play music again. So to see her play on a digital keyboard was fantastic.”

The fact that the tablet devices were entirely unaltered and had all preloaded accessibility software turned off was an important part of the study, the researchers said.

“The assistive technologies that are available today, while they’re important and useful, are all inherently limited in terms of either the speed of use they enable, or the flexibility of the interface,” said Krishna Shenoy, a senior author of the paper and an electrical engineer and neuroscientist at Stanford University and Howard Hughes Medical Institute. “That’s largely because of the limited input signals that are available. With the richness of the input from the BCI, we were able to just buy two tablets on Amazon, turn on Bluetooth and the participants could use them with our investigational BrainGate system right out of the box.”

The researchers say that the study also has the potential to open important new lines of communication between patients with severe neurological deficits and their health care providers.

“This has great potential for restoring reliable, rapid and rich communication for somebody with locked-in syndrome who is unable to speak,” said Jose Albites Sanabria, who performed this research as a graduate student in biomedical engineering at Brown University. “That not only could provide increased interaction with their family and friends, but can provide a conduit for more thoroughly describing ongoing health issues with caregivers.”

As a neuroscientist and practicing critical care neurologist, senior author Dr. Leigh Hochberg of Brown University, Massachusetts General Hospital and the Providence VA Medical Center sees tremendous potential for the restorative capabilities of BCIs exemplified in this study.

“When I see somebody in the neuro-intensive care unit who has had an acute stroke and has lost the ability to move or communicate, I’d like to be able to say, ‘I’m very sorry this has happened, but we can restore your ability to use the technologies you were using before this happened, and you’ll be able to use them again tomorrow,'” Hochberg said. “And we are getting closer to being able to tell someone who has been diagnosed with ALS, ‘even while we continue to seek out a cure, you will never lose the ability to communicate.’ This work is a step toward those goals.”

Video: https://www.youtube.com/watch?time_continue=47&v=O6Qw3EDBPhg

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