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Tag: nervous system

Why eating Listeria-contaminated food can be life threatening?

TeachableMedicalNews article 10222020

Teachable moment in classrooms:

  1. cellular basis of life chapter – cytosol
  2. nervous system chapter – location of meninges
  3. immune system chapter – vasodilation during inflammation
  4. immune system chapter – emigration by white blood cells
  5. microbiology – Listeria monocytogenes biology

The news item:  Recently a Listeria outbreak was reported to have started from contaminated mushrooms:

Enoki mushrooms tied to listeria outbreak that killed four people and hospitalized 31, CDC says | CNN

Enoki mushrooms are linked to four deaths and 31 hospitalizations in what the US Centers for Disease Control and Prevention says was a multistate listeria outbreak that is now presumed to be over.

The article stated that Listeria outbreak is caused by a bacterium, and that the symptoms of infection are stiff neck, loss of balance, miscarriage, confusion and fever.

So, Why Do I Care??

Infection by Listeria bacterium is the third leading cause of food borne illness, and it is the most lethal food borne illness by killing about 15 – 20% of the infected individuals.  In the US each year about 1600 people get infected, and 260 die. The victims are the most vulnerable of society: elderly, pregnant women, and immunosuppressed people.

Plain English, Please!!!

First, let’s talk about what Listeria is. Listeria is a type of bacterium that infects human beings when they consume Listeria-contaminated food. The bacterium lives

Could the electrical stimulation of the skin help pediatric ADHD sufferers?

TeachableMedicalNews article 09162020

Teachable moment in classrooms:

  1. nervous system chapter – Na channel opening during nerve impulse
  2. nervous system chapter – neurotransmitters pass excitation from one neuron to another
  3. brain chapter – cranial nerves and their functions

The news item:  Recently a news article described a medical device to treat ADHD in children:

FDA signs off on first medical device for treating ADHD in children

As diagnosis rates of ADHD among children skyrocket, a new medical device for the treatment of ADHD could soon hit the market.

The article states that the device called Monarch eTNS is placed on the forehead to send electrical impulses to the brain through the trigeminal nerve.

So, Why Do I Care??  Over 7 million children and 8 million adults have ADHD (attention deficit hyperactivity disorder).  ADHD can severely disrupt learning, school activities, social interactions, and job performance, among others. While there are existing treatment options for people with ADHD, any new treatment with fewer side effects is welcome news.

Plain English, Please!!!  First, let’s talk about ADHD.  Attention deficit hyperactivity disorder is a disorder of the nervous system.  Normally, small group of neurons in the brain actively keep behaviors like attention span, interactions with others, and executive function going.  When those groups of neurons have a lower

What makes some hand sanitizers dangerously toxic?

TeachableMedicalNews article 08282020

Teachable moment in classrooms:

  1. chemical basis of life chapter – adenosine triphosphate (ATP)
  2. cellular basis of life chapter –sites of detoxification inside the cell
  3. cellular basis of life chapter – mitochondria as site of ATP production
  4. digestive system chapter – absorption through stomach mucosa
  5. metabolism chapter – electron transport chain as most efficient ATP producing process inside mitochondria
  6. special senses chapter – gross anatomy of optic nerve

The news item:  A recent news item described over a hundred hand sanitizer brands are being removed from store shelves because they may be dangerously toxic:

FDA says to avoid these 130 hand sanitizer products that may not work, or are toxic

Regulators say some of the products contain dangerous levels of methanol, which can lead to blindness, hospitalization and even death.

The article mentions that the toxic ingredient is methanol, and that it may cause blindness.

So, Why Do I Care??  Poisoning by methanol, also called wood alcohol, sickens over 20,000 people each year in the US.  These people may become blind in 24 hours, and suffer long-lasting damage to their kidneys and brain. The best prevention is not to consume methanol either by drinking or through contact with skin, such as through hand sanitizers.  So, taking hand sanitizers off the shelf is part of the prevention.

Plain English, Please!!! First, let’s talk about what methanol is. Methanol is chemically similar to ethanol, the alcohol in adult beverages. Methanol gets into hand sanitizers when the ethanol ingredient is contaminated with methanol. When ethanol is made by distilleries, sometimes inadvertently methanol is distilled into the product, so then it becomes part of the hand sanitizer.

Can an injectable treatment reduce cluster headaches?

TeachableMedicalNews article 11302019

Teachable moment in classrooms:

  1. Cellular basis of life chapter – receptors on cell membranes bind ligands
  2. general senses chapter – unconventional types of pain
  3. general senses chapter – pharmaceuticals of pain control
  4. immune system chapter – antibodies as pharmaceuticals

The news item:  A new injectable treatment for cluster headaches has recently been in the news:

Emgality Receives First FDA Approval for Treating Cluster Headache

US News is a recognized leader in college, grad school, hospital, mutual fund, and car rankings. Track elected officials, research health conditions, and find news you can use in politics, business, health, and education.

The article mentions the similarity of the pain of cluster headaches to that of migraines, and the approval of the drug Emgality (galcanazumab).

So, Why Do I Care??

About 1 million people suffer from a debilitating disorder, cluster headaches, in the USA.  While there are several therapeutic approaches to cluster headaches, but their effectiveness varies, and many of those treatments have unpleasant side effects.

Plain English, Please!!!  First, let’s talk about cluster headache.  Cluster headache a quick onset and intensely painful type of headache.  That pain makes patients disfunctional, and many cases the pain wakes them up at night, and, so, that is why this disorder is so debilitating.  The headaches happen during a particular time of the day, because these headaches are linked to the body’s own internal clock.

Second, let’s talk about pain, this warning signal of our nervous system.  We sense pain when tissue damage triggers nerve impulses in the nerve cells of the damaged body area, and those neurons conduct the nerve impulse to the brain

Third, let’s talk about this new treatment for cluster headache.  Because cluster headache is not the result of tissue damage, common pain killers don’t work well on cluster headache pain.  Many years of research identified a chemical that trigger cluster headache pain; that chemical is called calcitonin gene related peptide (CGRP).  Cluster headaches happen when CGRP reaches receptors on neurons in the brain.   So, how can you block the action of that peptide?  Imagine a football game where the defensive tackle wraps his arms around the running back to keep him out of the end zone.  The drug mentioned in the article, galcanezumab, acts like a defensive tackle wrapping arms around the running back CGRP, and keeping it away from receptors on neurons in the brain.  The defensive tackle, galcanezumab, can target CGRP only, because galcanezumab is a modified antibody, a protein made by immune system cells to specifically target invaders in the body. As antibodies are proteins, they can not be taken orally, but have to be injected.

Can electrical stimulation to your throat cure sleep apnea?

TeachableMedicalNews article 11272019

Teachable moment in classrooms:

  1. respiratory system chapter – anatomy of upper airways
  2. nervous system chapter – organs innervated by cranial nerve XII (hypoglossal)
  3. skeletal muscle chapter – electric excitation of skeletal muscles lead to contraction (excitation-contraction coupling)

 The news item: Recently, several articles appeared about an electrical device called Inspire:

Sleep apnea patient finds rest with implant device: “It saved my life”

An estimated 22 million Americans suffer from sleep apnea, putting them at greater risk for diabetes, heart disease, stroke and memory loss

The articles mention that the device treats sleep apnea, and that the device sends electrical impulses to the throat muscles.

So, Why Do I Care??  Sleep apnea, or more precisely, obstructive sleep apnea, is a sleep disorder that affects about 22 million people in the US.  Those people are not just losing sleep, but are at higher risk for several cardiovascular diseases, and for daytime sleepiness.  While not every patient is a good candidate for the Inspire device, the patients with the device show significant improvement in sleep quality and time.

Plain English, Please!!!     So, let’s talk about sleep apnea first.  Apnea is a brief closure of the airways where the closure stops air from getting into the lungs.  The lower portion of our airways have solid cartilage framework (trachea, bronchi), so narrowing rarely occurs; it is always open, like a steel pipe.  However, in the upper airways (mouth, soft palate) we have muscles that surround those airways, and the inappropriate relaxation of the muscles can lead to closure of the upper airway; imagine putting on a sock: it’s easy when we open it up with our fingers, but it’s harder to put our toes through it when the sock is collapsed on the floor.

Second, let’s talk about throat muscles.  While we do have muscles in the throat (anatomically called pharynx), in the soft palate, and in the tongue, surprisingly, the muscles in the tongue are the culprit in narrowing of the airways during sleep. The task of the Inspire device is to contract the muscles inside our tongue.

Third, let’s talk about muscle contraction.  How come those muscles of the upper airways stop working when we’re asleep?  That happens, because muscles need an instruction, a nerve signal, to work, to contract.  When we’re asleep, our brain is no longer sending nerve signals to the tongue muscles, so the muscles relax, and may obstruct the upper airways.  It follows then that during our sleep we could reopen the closed airways by sending a signal to the muscles of the tongue.  Because most of the tongue muscles get their nerve signal through a nerve called cranial nerve XII, it makes sense that the wire of the Inspire device sends electrical impulses to cranial nerve XII.  In turn, those nerve impulses will make the tongue muscles to contract, and keep the airways open.

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Is putting a filter into our large blood vessels a good idea?

TeachableMedicalNews article 11152019

Teachable moment in classrooms:

  1. blood chapter – blood clot formation
  2. blood vessel chapter – direction of blood flow in veins
  3. heart chapter – pulmonary circulation
  4. respiratory system chapter – blood flow to alveoli for gas exchange

The news item: The medical device called “IVC filter” was in the consumer safety news recently:

IVC Filter Lawsuit | 2020 Updates and Settlements

If you experienced side effects from an IVC filter, you may be eligible for compensation. Get a free case review today at ConsumerSafety.org.

The article provided updates regarding lawsuits targeting the IVC filter. The article mentioned the purpose of the device which is to remove unwanted blood clots, and that the device as placed in the inferior vena cava.

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