Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Showing posts with label communication. Show all posts
Showing posts with label communication. Show all posts

Monday, December 18, 2023

Strategies to Improve Medical Communication

 Did you get ANY useful communications from your stroke medical 'professionals'?

I got none, my doctor knew nothing and did nothing. My therapists never told me the chances of recovery or the  expected outcomes of the interventions I was doing. 

 I should expect;

  1. Percentage efficacy of the intervention

  2. Number of repetitions required to get recovered.

  3. The research that backs up the suggested repetitions and efficacy

If you have none of that you don't have a functioning anything in stroke!

RUN AWAY!

Strategies to Improve Medical Communication

JAMA. Published online December 7, 2023. doi:10.1001/jama.2023.23430

Accurate and clear medical information helps patients better manage their health, improves treatment adherence, and reduces health care costs, all of which help improve quality of life.1 Medical communication is the provision of information about disease prevention, diagnosis, and management, including the risks and benefits of treatment and nontreatment. While medical communication has historically referred to verbal or written communication between a clinician and patient, communication through other sources, such as social media channels and video sharing, have expanded the message format and the audience. This article proposes effective medical communication strategies for clinicians and focuses on 3 aspects: the message, messenger, and social context (Figure).


Tuesday, May 11, 2021

Hospital staff, volunteers’ and patients’ perceptions of barriers and facilitators to communication following stroke in an acute and a rehabilitation private hospital ward: a qualitative description study

And the simple solution to these communication problems is an objective damage diagnosis, leading to EXACT STROKE RECOVERY PROTOCOLS. Everything would be clear about what the doctor and therapists should be doing and exactly what the patient needs to do to recover. Exact responsibilities would be delineated resulting in zero confusion about who does what.  If you don't understand this solution get the hell out of stroke.


Hospital staff, volunteers’ and patients’ perceptions of barriers and facilitators to communication following stroke in an acute and a rehabilitation private hospital ward: a qualitative description study

  1. Sarah D'Souza1,2,
  2. Erin Godecke1,2,
  3. Natalie Ciccone1,
  4. Deborah Hersh1,
  5. Heidi Janssen3,
  6. Elizabeth Armstrong1
  1. Correspondence to Sarah D'Souza; s.dsouza@ecu.edu.au

Abstract

Objectives To explore barriers and facilitators to patient communication in an acute and rehabilitation ward setting from the perspectives of hospital staff, volunteers and patients following stroke.

Design A qualitative descriptive study as part of a larger study which aimed to develop and test a Communication Enhanced Environment model in an acute and a rehabilitation ward.

Setting A metropolitan Australian private hospital.

Participants Focus groups with acute and rehabilitation doctors, nurses, allied health staff and volunteers (n=51), and interviews with patients following stroke (n=7), including three with aphasia, were conducted.

Results The key themes related to barriers and facilitators to communication, contained subcategories related to hospital, staff and patient factors. Hospital-related barriers to communication were private rooms, mixed wards, the physical hospital environment, hospital policies, the power imbalance between staff and patients, and task-specific communication. Staff-related barriers to communication were staff perception of time pressures, underutilisation of available resources, staff individual factors such as personality, role perception and lack of knowledge and skills regarding communication strategies. The patient-related barrier to communication involved patients’ functional and medical status. Hospital-related facilitators to communication were shared rooms/co-location of patients, visitors and volunteers. Staff-related facilitators to communication were utilisation of resources, speech pathology support, staff knowledge and utilisation of communication strategies, and individual staff factors such as personality. No patient-related facilitators to communication were reported by staff, volunteers or patients.

Conclusions Barriers and facilitators to communication appeared to interconnect with potential to influence one another. This suggests communication access may vary between patients within the same setting. Practical changes may promote communication opportunities for patients in hospital early after stroke such as access to areas for patient co-location as well as areas for privacy, encouraging visitors, enhancing patient autonomy, and providing communication-trained health staff and volunteers.

Data availability statement

Data are available upon reasonable request. Patient interview and staff focus group data are stored in the Edith Cowan University data storage repository. These data will be available in a de-identified format by request through the first author ORCiD https://orcid.org/0000-0001-6221-3229. The availability and use of the data are governed by Edith Cowan University Research Ethics.

http://creativecommons.org/licenses/by-nc/4.0/

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

Friday, June 28, 2019

What Health Care Executives Can Learn From Taylor Swift - Stroke executives?

Have any of you 10 million yearly stroke survivors  ever been in communication with ANY stroke leader, your hospital president, your doctor, your stroke researchers, anyone in your stroke association? NO? Proving once and for all none of them care about solving stroke. You're screwed along with your children and grandchildren. The ONLY solution is to remove all the dead wood in stroke and have survivors in charge.  The incompetence is so baked into stroke that nothing but amputation will be a success. Someday a stroke leader will deign to talk to me and tell me I know nothing about stroke. That will be amusing.  If they aren't trying for 100% recovery for all they aren't leaders, just bureaucrats passing time until retirement.

What Health Care Executives Can Learn From Taylor Swift - Stroke executives?



In this world, change is an inevitable phenomenon. What one can learn from an impassioned entrepreneur, a sports executive or a Wall Street writer about the re-evaluation of the status quo and changing the game can go as far as opening the eyes of others and inspiring these individuals to make a move for themselves.

Before one can dismiss the idea of including pop princess Taylor Swift to the temple of modern-day business gurus, it is worth taking a look at some of these stats.

The accomplished singer has brought in a whopping $39.6 million in 2014. She is as successful as those prominent individuals who have built pillars in the technological industry and other areas.

When Swift reached the age of 18, she had already earned her first number one single and was named the Artist/Songwriter of the Year by the Nashville Songwriters Association. To add to that, she also won the CMA Horizon Award. Having said these, there really are a lot of lessons that one can learn from Swift, even health care executives can note a thing or two.
00:16 / 00:30
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Individuals who live and thrive in the health care world are taught about utmost safety. They are often not introduced to the creative side of life. Senator Bill Frist once said that health care has a lot of things to learn from the music world. These may include surrounding the self with passionate people. Even at such a young age, Swift was fond of familiarizing herself with a lot of people. She believes that individuals outside of her career have made a massive impact on her creativity and inspiration.

Health care executives should be willing to make tough decisions, like what Swift does with her music. The pop singer is not ready to contribute her life's work to an experiment that does not fairly compensate those working with her, which means that she chooses sincerity over instant success.

But above all, what others, not just those in the health care industry, should learn from Swift is her genuineness.

She engages with her fans and customers and personally communicates with them. She does an effective job of forming a close-knit community even if that same community is composed of geographically dispersed people.

Thursday, October 5, 2017

Researchers explore what happens during break down of nerve cells

Followup needed, but nothing will occur for stroke survivors since we have NO stroke strategy to update and NO stroke leadership to drive that strategy.
https://www.news-medical.net/news/20170927/Researchers-explore-what-happens-during-break-down-of-nerve-cells.aspx
A stroke is just one example of a condition when communication between nerve cells breaks down. Micro-failures in brain functioning also occur in conditions such as depression and dementia. In most cases, the lost capacity will return after a while. However, consequential damage will often remain so that the functional capability can only be restored through lengthy treatment -- if at all. For this reason, researchers at Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU) have been investigating what happens during such breakdown phases and looking at possible ways of preventing damage and speeding up the healing processes. Their findings have been recently published in the eminent journal Scientific Reports (doi: 10.1038/s41598-017-11729-5).
The research team headed by Jana Wrosch of FAU's Chair of Psychiatry and Psychotherapy found that significant alterations occurred in neural cells while the communication pathways were blocked. Neuron networks reconnect during such periods of inactivity and become hypersensitive. If we imagine that normal communication pathways are motorways, when they are blocked a form of traffic chaos occurs in the brain whereby information is re-routed in disorganized form along what can be called side streets and minor routes. Additional synapses are generated everywhere and begin operating. When the signal is reinstated, the previously coordinated information routes no longer exist and, as in the case of a child, the appropriate functions need to be learned from scratch. Since they are receiving no normal signals during the phase of brain malfunction, the nerve cells also become more sensitive in an attempt to find the missing input. Once the signals return, this means they may overreact.
Nerve cells flicker when stained
Visualizing the microscopically minute connections between the nerve cells is a major technical challenge. The conventional microscopic techniques currently available, such as electron microscopy, always require preliminary treatment of the nerve cells that are to undergo examination. However, this causes the nerve cells to die, so that the alterations that occur in the cells cannot be observed. To get round this problem, Wrosch and her team have developed a high-speed microscopy process along with special statistical computer software that makes it possible to visualize the communication networks of living neurons. First, a video of the cells is made whereby an image is taken every 36 milliseconds. A special dye is used to stain the cells to ensure that the individual cells flicker whenever they receive a signal. Subsequently, the software recognizes these cells on the video images and detects the information pathways by which the signals are transmitted from cell to cell.
The nerve cells are then exposed to the pufferfish poison tetrodotoxin to simulate the blocking of communication channels that occurs in disorders. After inducing communication breakdown phases of varying lengths, the researchers remove the toxin from the cells and determine how the nerve cell networks have changed during exposure. 'Thanks to this concept, we have been finally able to discover what happens when communication is blocked,' explains Wrosch. 'Now we can try to develop medications that will help prevent these damaging changes.' In future projects, the research team plans to examine the exact mode of action of anti-depressants on nerve cell networks and intends to find new approaches to creating more effective drugs.

Sunday, August 27, 2017

Communication in stroke: the overlooked rehabilitation tool

Yes, let's communicate exactly all the fucking problems in stroke and the incompetency of your doctor and stroke hospital in solving them. 
1. Only 10% of patients get to full recovery.
2. tPA only fully works to reverse the stroke 12% of the time. Known since 1996.
3. No protocols to prevent your 33% dementia chance post-stroke from an Australian study.
4. Nothing to alleviate your fatigue.
5. Nothing that will cure your spasticity.
6. Nothing on cognitive training unless you find this yourself.
7. No published stroke protocols.
8. No way to compare your stroke hospital results vs. other stroke hospitals. 
https://academic.oup.com/ageing/article/33/5/440/40300/Communication-in-stroke-the-overlooked#.WaLZpbUJp3Q.twitter

Age and Ageing, Volume 33, Issue 5, 1 September 2004, Pages 440–443, https://doi.org/10.1093/ageing/afh163
Published:
01 September 2004
Article history

Abstract


People who have had a stroke and their families at every stage post-stroke state that they require more information. They wish to be informed about all aspects of their stroke and their care and be involved in decision-making. Several evidence-based reviews have found that information provision in stroke is inadequate and that future work should address the expressed needs of stroke survivors and families. Utilising research and personal experience as the spouse of a stroke survivor, this author makes a plea for better communication in stroke. The first steps to achieve this include the following. (i) Acknowledgement that stroke communication needs to be improved and that improved communication could affect outcomes not only for stroke survivors and their families but for professionals as well. (ii) The content of post-stroke communication needs to be delineated. Professionals have conflicting opinions on how to talk about uncertain recovery and a life post-stroke that includes disability. (iii) Proposing that stroke communication must support identity. Communication in stroke needs to be improved and communication should support identity.

Thursday, August 24, 2017

The Language of Recovery: How Effective Communication of Information Is Crucial to Restructuring Post-Stroke Life

But do you really want to give stroke survivors more information? It is going to make the stroke medical world look totally incompetent.
1. Only 10% of patients get to full recovery.
2. tPA only fully works to reverse the stroke 12% of the time. Known since 1996.
3. No protocols to prevent your 33% dementia chance post-stroke from an Australian study.
4. Nothing to alleviate your fatigue.
5. Nothing that will cure your spasticity.
6. Nothing on cognitive training unless you find this yourself.
7. No published stroke protocols.
8. No way to compare your stroke hospital results vs. other stroke hospitals.   

The Language of Recovery: How Effective Communication of Information Is Crucial to Restructuring Post-Stroke Life


Pages 55-67 | Published online: 02 Feb 2015

Background: Providing appropriate and effective information to people with stroke and their families has been identified as a key component to successful practice. Researchers continue to focus on “lack of information” as being the lack of specific technical medical information rather than the communication of practical knowledge and how people use that knowledge to restructure life after stroke. To meet patients’ expectations and achieve better outcomes in stroke, professionals need access to communication theory, research, and training.  
Objectives: Improve stroke communication systematically.  
Method: This article will examine stroke communication using a three-part framework: 1. Utilize theory to clearly conceptualize how communication influences stroke outcome. 2. Identify components and mechanisms of communication content to positively influence stroke outcome. 3. Develop goals and strategies for putting content skills into stroke communication practice. Conclusion: Relatively little is known about the content and structure of informal communication transactions between stroke survivors, families, and health care professionals and how they accommodate (or resist) realignment of identity after stroke. The professional discourse attempts to ensure realistic expectations of recovery whereas stroke survivors and families complain about the negative discourses, how possibilities for life after stroke are presented, and the hopelessness that this creates. More research is required into how these different discourses affect outcomes.

Monday, August 7, 2017

Communication in stroke: the overlooked rehabilitation tool

But do you really want to give stroke survivors more information? It is going to make the stroke medical world look totally incompetent.
1. Only 10% of patients get to full recovery.
2. tPA only fully works to reverse the stroke 12% of the time. Known since 1996.
3. No protocols to prevent your 33% dementia chance post-stroke from an Australian study.
4. Nothing to alleviate your fatigue.
5. Nothing that will cure your spasticity.
6. Nothing on cognitive training unless you find this yourself.
7. No published stroke protocols.
8. No way to compare your stroke hospital results vs. other stroke hospitals.  

https://academic.oup.com/ageing/article/33/5/440/40300/Communication-in-stroke-the-overlooked

Age and Ageing, Volume 33, Issue 5, 1 September 2004, Pages 440–443, https://doi.org/10.1093/ageing/afh163
Published:
01 September 2004
Article history

Abstract

People who have had a stroke and their families at every stage post-stroke state that they require more information. They wish to be informed about all aspects of their stroke and their care and be involved in decision-making. Several evidence-based reviews have found that information provision in stroke is inadequate and that future work should address the expressed needs of stroke survivors and families. Utilising research and personal experience as the spouse of a stroke survivor, this author makes a plea for better communication in stroke. The first steps to achieve this include the following. (i) Acknowledgement that stroke communication needs to be improved and that improved communication could affect outcomes not only for stroke survivors and their families but for professionals as well. (ii) The content of post-stroke communication needs to be delineated. Professionals have conflicting opinions on how to talk about uncertain recovery and a life post-stroke that includes disability. (iii) Proposing that stroke communication must support identity. Communication in stroke needs to be improved and communication should support identity.

Saturday, April 8, 2017

The Language of Recovery: How Effective Communication of Information Is Crucial to Restructuring Post-Stroke Life

My doctor told me absolutely nothing about my stroke or how to recover from it.  I highly doubt a paper like this will change his approach. He pooh-poohed a research paper I asked him about.
http://www.tandfonline.com/doi/abs/10.1310/NPC4-01YV-P66Q-VM9R

Pages 55-67 | Published online: 02 Feb 2015
Background: Providing appropriate and effective information to people with stroke and their families has been identified as a key component to successful practice. Researchers continue to focus on “lack of information” as being the lack of specific technical medical information rather than the communication of practical knowledge and how people use that knowledge to restructure life after stroke. To meet patients’ expectations and achieve better outcomes in stroke, professionals need access to communication theory, research, and training.  
Objectives: Improve stroke communication systematically.  
Method: This article will examine stroke communication using a three-part framework: 1. Utilize theory to clearly conceptualize how communication influences stroke outcome. 2. Identify components and mechanisms of communication content to positively influence stroke outcome. 3. Develop goals and strategies for putting content skills into stroke communication practice. Conclusion: Relatively little is known about the content and structure of informal communication transactions between stroke survivors, families, and health care professionals and how they accommodate (or resist) realignment of identity after stroke. The professional discourse attempts to ensure realistic expectations of recovery whereas stroke survivors and families complain about the negative discourses, how possibilities for life after stroke are presented, and the hopelessness that this creates. More research is required into how these different discourses affect outcomes.

Tuesday, February 9, 2016

The Language of Recovery: How Effective Communication of Information Is Crucial to Restructuring Post-Stroke Life

This would be minimally necessary if the neuronal cascade of death was prevented resulting in vastly less dead and damaged neurons. But we seem to have NO strategy and NO leadership in stroke so we don't even have the correct research going on. A lot of this lack of information is because our stroke medical professionals have not written up stroke rehabilitation protocols.
http://www.maneyonline.com/doi/abs/10.1310/NPC4-01YV-P66Q-VM9R

Background: Providing appropriate and effective information to people with stroke and their families has been identified as a key component to successful practice. Researchers continue to focus on “lack of information” as being the lack of specific technical medical information rather than the communication of practical knowledge and how people use that knowledge to restructure life after stroke. To meet patients’ expectations and achieve better outcomes in stroke, professionals need access to communication theory, research, and training. Objectives: Improve stroke communication systematically. Method: This article will examine stroke communication using a three-part framework: 1. Utilize theory to clearly conceptualize how communication influences stroke outcome. 2. Identify components and mechanisms of communication content to positively influence stroke outcome. 3. Develop goals and strategies for putting content skills into stroke communication practice. Conclusion: Relatively little is known about the content and structure of informal communication transactions between stroke survivors, families, and health care professionals and how they accommodate (or resist) realignment of identity after stroke. The professional discourse attempts to ensure realistic expectations of recovery whereas stroke survivors and families complain about the negative discourses, how possibilities for life after stroke are presented, and the hopelessness that this creates. More research is required into how these different discourses affect outcomes.





Full 13 page PDF of this here:
https://drive.google.com/file/d/0B8UKJBVvGwt2VUl2RnFTbEdzWVE/view

Wednesday, December 2, 2015

New protein nanoparticles allow scientists to track cells and interactions within them

With any innovative thinking at all this could be used to determine how neuroplasticity works and make it consistently repeatable. Or monitor injected stem cells or neurons created by neurogenesis. But we have none of that because we have NO stroke strategy or stroke leadership.
http://mcgovern.mit.edu/news/news/engineers-design-magnetic-cell-sensors/
MIT engineers have designed magnetic protein nanoparticles that can be used to track cells or to monitor interactions within cells. The particles, described today in Nature Communications, are an enhanced version of a naturally occurring, weakly magnetic protein called ferritin.
“Ferritin, which is as close as biology has given us to a naturally magnetic protein nanoparticle, is really not that magnetic. That’s what this paper is addressing,” says Alan Jasanoff, an MIT professor of biological engineering and the paper’s senior author. “We used the tools of protein engineering to try to boost the magnetic characteristics of this protein.”
The new “hypermagnetic” protein nanoparticles can be produced within cells, allowing the cells to be imaged or sorted using magnetic techniques. This eliminates the need to tag cells with synthetic particles and allows the particles to sense other molecules inside cells.
The paper’s lead author is former MIT graduate student Yuri Matsumoto. Other authors are graduate student Ritchie Chen and Polina Anikeeva, an assistant professor of materials science and engineering.
Magnetic pull
Previous research has yielded synthetic magnetic particles for imaging or tracking cells, but it can be difficult to deliver these particles into the target cells. In the new study, Jasanoff and colleagues set out to create magnetic particles that are genetically encoded. With this approach, the researchers deliver a gene for a magnetic protein into the target cells, prompting them to start producing the protein on their own. “Rather than actually making a nanoparticle in the lab and attaching it to cells or injecting it into cells, all we have to do is introduce a gene that encodes this protein,” says Jasanoff, who is also an associate member of MIT’s McGovern Institute for Brain Research. As a starting point, the researchers used ferritin, which carries a supply of iron atoms that every cell needs as components of metabolic enzymes. In hopes of creating a more magnetic version of ferritin, the researchers created about 10 million variants and tested them in yeast cells. After repeated rounds of screening, the researchers used one of the most promising candidates to create a magnetic sensor consisting of enhanced ferritin modified with a protein tag that binds with another protein called streptavidin. This allowed them to detect whether streptavidin was present in yeast cells; however, this approach could also be tailored to target other interactions.
The mutated protein appears to successfully overcome one of the key shortcomings of natural ferritin, which is that it is difficult to load with iron, says Alan Koretsky, a senior investigator at the National Institute of Neurological Disorders and Stroke.
“To be able to make more magnetic indicators for MRI would be fabulous, and this is an important step toward making that type of indicator more robust,” says Koretsky, who was not part of the research team.
Sensing cell signals
Because the engineered ferritins are genetically encoded, they can be manufactured within cells that are programmed to make them respond only under certain circumstances, such as when the cell receives some kind of external signal, when it divides, or when it differentiates into another type of cell. Researchers could track this activity using magnetic resonance imaging (MRI), potentially allowing them to observe communication between neurons, activation of immune cells, or stem cell differentiation, among other phenomena.
Such sensors could also be used to monitor the effectiveness of stem cell therapies, Jasanoff says.
“As stem cell therapies are developed, it’s going to be necessary to have noninvasive tools that enable you to measure them,” he says. Without this kind of monitoring, it would be difficult to determine what effect the treatment is having, or why it might not be working.
The researchers are now working on adapting the magnetic sensors to work in mammalian cells. They are also trying to make the engineered ferritin even more strongly magnetic.
- See more at: http://mcgovern.mit.edu/news/news/engineers-design-magnetic-cell-sensors/#sthash.wLKAYEY4.dpuf MIT engineers have designed magnetic protein nanoparticles that can be used to track cells or to monitor interactions within cells. The particles, described today in Nature Communications, are an enhanced version of a naturally occurring, weakly magnetic protein called ferritin.

“Ferritin, which is as close as biology has given us to a naturally magnetic protein nanoparticle, is really not that magnetic. That’s what this paper is addressing,” says Alan Jasanoff, an MIT professor of biological engineering and the paper’s senior author. “We used the tools of protein engineering to try to boost the magnetic characteristics of this protein.”

The new “hypermagnetic” protein nanoparticles can be produced within cells, allowing the cells to be imaged or sorted using magnetic techniques. This eliminates the need to tag cells with synthetic particles and allows the particles to sense other molecules inside cells.

The paper’s lead author is former MIT graduate student Yuri Matsumoto. Other authors are graduate student Ritchie Chen and Polina Anikeeva, an assistant professor of materials science and engineering.

Magnetic pull

Previous research has yielded synthetic magnetic particles for imaging or tracking cells, but it can be difficult to deliver these particles into the target cells.

In the new study, Jasanoff and colleagues set out to create magnetic particles that are genetically encoded. With this approach, the researchers deliver a gene for a magnetic protein into the target cells, prompting them to start producing the protein on their own.

“Rather than actually making a nanoparticle in the lab and attaching it to cells or injecting it into cells, all we have to do is introduce a gene that encodes this protein,” says Jasanoff, who is also an associate member of MIT’s McGovern Institute for Brain Research.

As a starting point, the researchers used ferritin, which carries a supply of iron atoms that every cell needs as components of metabolic enzymes. In hopes of creating a more magnetic version of ferritin, the researchers created about 10 million variants and tested them in yeast cells.

After repeated rounds of screening, the researchers used one of the most promising candidates to create a magnetic sensor consisting of enhanced ferritin modified with a protein tag that binds with another protein called streptavidin. This allowed them to detect whether streptavidin was present in yeast cells; however, this approach could also be tailored to target other interactions.

The mutated protein appears to successfully overcome one of the key shortcomings of natural ferritin, which is that it is difficult to load with iron, says Alan Koretsky, a senior investigator at the National Institute of Neurological Disorders and Stroke.

“To be able to make more magnetic indicators for MRI would be fabulous, and this is an important step toward making that type of indicator more robust,” says Koretsky, who was not part of the research team.

Sensing cell signals

Because the engineered ferritins are genetically encoded, they can be manufactured within cells that are programmed to make them respond only under certain circumstances, such as when the cell receives some kind of external signal, when it divides, or when it differentiates into another type of cell. Researchers could track this activity using magnetic resonance imaging (MRI), potentially allowing them to observe communication between neurons, activation of immune cells, or stem cell differentiation, among other phenomena.

Such sensors could also be used to monitor the effectiveness of stem cell therapies, Jasanoff says.

“As stem cell therapies are developed, it’s going to be necessary to have noninvasive tools that enable you to measure them,” he says. Without this kind of monitoring, it would be difficult to determine what effect the treatment is having, or why it might not be working.

The researchers are now working on adapting the magnetic sensors to work in mammalian cells. They are also trying to make the engineered ferritin even more strongly magnetic.
MIT engineers have designed magnetic protein nanoparticles that can be used to track cells or to monitor interactions within cells. The particles, described today in Nature Communications, are an enhanced version of a naturally occurring, weakly magnetic protein called ferritin.
“Ferritin, which is as close as biology has given us to a naturally magnetic protein nanoparticle, is really not that magnetic. That’s what this paper is addressing,” says Alan Jasanoff, an MIT professor of biological engineering and the paper’s senior author. “We used the tools of protein engineering to try to boost the magnetic characteristics of this protein.”
The new “hypermagnetic” protein nanoparticles can be produced within cells, allowing the cells to be imaged or sorted using magnetic techniques. This eliminates the need to tag cells with synthetic particles and allows the particles to sense other molecules inside cells.
The paper’s lead author is former MIT graduate student Yuri Matsumoto. Other authors are graduate student Ritchie Chen and Polina Anikeeva, an assistant professor of materials science and engineering.
Magnetic pull
Previous research has yielded synthetic magnetic particles for imaging or tracking cells, but it can be difficult to deliver these particles into the target cells.
In the new study, Jasanoff and colleagues set out to create magnetic particles that are genetically encoded. With this approach, the researchers deliver a gene for a magnetic protein into the target cells, prompting them to start producing the protein on their own.
“Rather than actually making a nanoparticle in the lab and attaching it to cells or injecting it into cells, all we have to do is introduce a gene that encodes this protein,” says Jasanoff, who is also an associate member of MIT’s McGovern Institute for Brain Research.
As a starting point, the researchers used ferritin, which carries a supply of iron atoms that every cell needs as components of metabolic enzymes. In hopes of creating a more magnetic version of ferritin, the researchers created about 10 million variants and tested them in yeast cells.
After repeated rounds of screening, the researchers used one of the most promising candidates to create a magnetic sensor consisting of enhanced ferritin modified with a protein tag that binds with another protein called streptavidin. This allowed them to detect whether streptavidin was present in yeast cells; however, this approach could also be tailored to target other interactions.
The mutated protein appears to successfully overcome one of the key shortcomings of natural ferritin, which is that it is difficult to load with iron, says Alan Koretsky, a senior investigator at the National Institute of Neurological Disorders and Stroke.
“To be able to make more magnetic indicators for MRI would be fabulous, and this is an important step toward making that type of indicator more robust,” says Koretsky, who was not part of the research team.
Sensing cell signals
Because the engineered ferritins are genetically encoded, they can be manufactured within cells that are programmed to make them respond only under certain circumstances, such as when the cell receives some kind of external signal, when it divides, or when it differentiates into another type of cell. Researchers could track this activity using magnetic resonance imaging (MRI), potentially allowing them to observe communication between neurons, activation of immune cells, or stem cell differentiation, among other phenomena.
Such sensors could also be used to monitor the effectiveness of stem cell therapies, Jasanoff says.
“As stem cell therapies are developed, it’s going to be necessary to have noninvasive tools that enable you to measure them,” he says. Without this kind of monitoring, it would be difficult to determine what effect the treatment is having, or why it might not be working.
The researchers are now working on adapting the magnetic sensors to work in mammalian cells. They are also trying to make the engineered ferritin even more strongly magnetic.
- See more at: http://mcgovern.mit.edu/news/news/engineers-design-magnetic-cell-sensors/#sthash.wLKAYEY4.dpuf

Thursday, November 14, 2013

New tools for investigating astrocyte-to-neuron communication

This is probably useful for determining how a neuron recruits a neighbor to help with a task, neuroplasticity in action.
http://www.frontiersin.org/Journal/10.3389/fncel.2013.00193/full?utm_source=newsletter&utm_medium=email&utm_campaign=Neuroscience-w46-2013
Dongdong Li1, Cendra Agulhon2, Elke Schmidt1, Martin Oheim1 and Nicole Ropert1*
  • 1Biophysics of Gliotransmitter Release Team, Laboratory of Neurophysiology and New Microscopies, INSERM U603, CNRS UMR 8154, University Paris Descartes, Paris, France
  • 2Glia-Glia and Glia-Neuron Interactions in Neurophysiopathology Team, Laboratory of Neurophysiology and New Microscopies, INSERM U603, CNRS UMR 8154, University Paris Descartes, Paris, France
Gray matter protoplasmic astrocytes extend very thin processes and establish close contacts with synapses. It has been suggested that the release of neuroactive gliotransmitters at the tripartite synapse contributes to information processing. However, the concept of calcium (Ca2+)-dependent gliotransmitter release from astrocytes, and the release mechanisms are being debated. Studying astrocytes in their natural environment is challenging because: (i) astrocytes are electrically silent; (ii) astrocytes and neurons express an overlapping repertoire of transmembrane receptors; (iii) the size of astrocyte processes in contact with synapses are below the resolution of confocal and two-photon microscopes (iv) bulk-loading techniques using fluorescent Ca2+ indicators lack cellular specificity. In this review, we will discuss some limitations of conventional methodologies and highlight the interest of novel tools and approaches for studying gliotransmission. Genetically encoded Ca2+ indicators (GECIs), light-gated channels, and exogenous receptors are being developed to selectively read out and stimulate astrocyte activity. Our review discusses emerging perspectives on: (i) the complexity of astrocyte Ca2+ signaling revealed by GECIs; (ii) new pharmacogenetic and optogenetic approaches to activate specific Ca2+ signaling pathways in astrocytes; (iii) classical and new techniques to monitor vesicle fusion in cultured astrocytes; (iv) possible strategies to express specifically reporter genes in astrocytes.

Thursday, January 31, 2013

Scientific communication crisis threatens progress

From a Faster Cures email. This is so obvious in stroke research. I have found numerous instances where the authors have missed previous research that contradicted their conclusions.
Society and Ethics  Scientific communication crisis threatens progress
The science community has long had a reputation for having poor public communication skills, but lately scientists have failed to communicate with one another, writes David Rubenson, Stanford Cancer Institute's associate director for administration and strategic planning. Presentations have become incomprehensible because researchers lack preparation time and large conferences make audience questions difficult to field; the number of scientific publications has exploded; research institutions have expanded; specialization has increased; and funds have declined. "It is up to our scientific leaders at the national institutes, foundations, and academic centers to recognize this problem and realign priorities and goals appropriately," Rubenson writes. Scientist, The (free registration) (1/2013)

Wednesday, July 4, 2012

A Real-Time fMRI-Based Spelling Device Immediately Enabling Robust Motor-Independent Communication

This is so cool, instead of just working on letters I bet they could mimic ASL and do words/phrases.
http://www.cell.com/current-biology/abstract/S0960-9822%2812%2900575-1
  • Highlights
  • fMRI-based spelling device for potential communication with locked-in patients
  • Each letter of the alphabet can be hemodynamically encoded by a single mental process
  • Evoked single-trial fMRI responses can be decoded in real time with high accuracy
  • Requires almost zero pretraining; methods can be readily used at standard MRI sites

Summary

Human communication entirely depends on the functional integrity of the neuromuscular system. This is devastatingly illustrated in clinical conditions such as the so-called locked-in syndrome (LIS) [1], in which severely motor-disabled patients become incapable to communicate naturally—while being fully conscious and awake. For the last 20 years, research on motor-independent communication has focused on developing brain-computer interfaces (BCIs) implementing neuroelectric signals for communication (e.g., [2,3,4,5,6,7]), and BCIs based on electroencephalography (EEG) have already been applied successfully to concerned patients [8,9,10,11]. However, not all patients achieve proficiency in EEG-based BCI control [12]. Thus, more recently, hemodynamic brain signals have also been explored for BCI purposes [13,14,15,16]. Here, we introduce the first spelling device based on fMRI. By exploiting spatiotemporal characteristics of hemodynamic responses, evoked by performing differently timed mental imagery tasks, our novel letter encoding technique allows translating any freely chosen answer (letter-by-letter) into reliable and differentiable single-trial fMRI signals. Most importantly, automated letter decoding in real time enables back-and-forth communication within a single scanning session. Because the suggested spelling device requires only little effort and pretraining, it is immediately operational and possesses high potential for clinical applications, both in terms of diagnostics and establishing short-term communication with nonresponsive and severely motor-impaired patients.