- Transcranial Magnetic Stimulation Device FDA Approved for OCD Treatment
- By Jason von Stietz, PhD
- August 31, 2018
According to the DSM 5, the international prevalence rate of obsessive compulsive disorder (OCD) is about 1% to 2%. OCD involves recurrent and persistent unwanted thoughts, which individuals attempts to suppress through repetitive compulsive behaviors. Depending on the severity, OCD can drastically impede an individual’s daily functioning. Fortunately, patients who have not responded to traditional treatment now have greater access to a cutting-edge treatment called transcranial magnetic stimulation (TMS), as a TMS device was recently approved by the FDA. This news was recently discussed in an article in Medical Xpress:
Transcranial magnetic stimulation uses magnetic fields to stimulate nerve cells in the brain. The FDA approved it as a treatment for major depression in 2008 and for treating pain associated with certain migraines in 2013.
"Transcranial magnetic stimulation has shown its potential to help patients suffering from depression and headaches," said Carlos Pena, director of the division of neurological and physical medicine devices at the FDA's Center for Devices and Radiological Health.
"With today's marketing authorization, patients with OCD who have not responded to traditional treatments now have another option," Pena added in an agency news release.
The approval of the Brainsway Deep Transcranial Magnetic Stimulation System was based on a study of 100 OCD patients. Thirty-eight percent of those treated with the device had a more than 30 percent reduction in the severity of their symptoms, compared with 11 percent of those treated with a non-working ("sham") device.
No serious reactions to treatment with the device were reported, according to the FDA.
People with OCD have uncontrollable, reoccurring thoughts and behaviors. About 1 percent of U.S. adults had OCD in the past year, according to the U.S. National Institute of Mental Health. The disorder is typically treated with medication, psychotherapy or both. Most patients respond to treatment, but some continue to have symptoms.
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- Heatwave Impacts Cognitive Ability in College Students
- By Jason von Stietz, Ph.D.
- July 28, 2018
People often assume that young and healthy individuals are largely unaffected by a heatwave. People also tend to focus on the dangers of exposure to the heat outside and neglect the possible dangers of high temperatures in buildings without air conditioning. Researchers from Harvard T.H. Chan School of Public Health studied the effects of college students in un-air-conditioned dormitories versus their counterparts living in air-conditioned dormitories. Those living without air-conditioning during a heatwave had slower reaction times and scored less accurately on cognitive tests. The study was discussed in a recent article in Medical Xpress:
"Most of the research on the health effects of heat has been done in vulnerable populations, such as the elderly, creating the perception that the general population is not at risk from heat waves," said Jose Guillermo Cedeño-Laurent, research fellow at Harvard Chan School and lead author of the study. "To address this blind spot, we studied healthy students living in dorms as a natural intervention during a heat wave in Boston. Knowing what the risks are across different populations is critical considering that in many cities, such as Boston, the number of heat waves is projected to increase due to climate change."
The study will be published online July 10, 2018 in PLOS Medicine as part of a special issue dedicated to climate change and health.
Extreme heat can have severe consequences for public health and is the leading cause of death of all meteorological phenomena in the U.S. Temperatures around the world are rising, with 2016 marking the warmest year on record for the past two centuries. While the health impacts of extreme heat are well documented, most studies to date have focused on vulnerable populations, including the very young or the elderly, and tend to be epidemiologic studies that use outdoor temperature records. Understanding the effects of indoor temperatures is important given that adults in the U.S. spend 90% of their time indoors.
For this new study, researchers tracked 44 students in their late teens and early 20s living in dorm rooms. Twenty-four of the students lived in adjacent six-story buildings that were built in the early 1990s and had central AC. The remaining 20 students lived in low-rise buildings constructed between 1930 and 1950 that did not have AC. Researchers outfitted each student's room with a device that measured temperature, carbon dioxide levels, humidity, and noise levels, and tracked their physical activity and sleep patterns with wearable devices.
The study was conducted over 12 consecutive days in the summer of 2016. The first five days consisted of seasonable temperatures, followed by a five-day-long heat wave, and then a two-day cooldown. Each day the students took two cognition tests on their smartphones right after waking up. The first test required students to correctly identify the color of displayed words and was used to evaluate cognitive speed and inhibitory control—or the ability to focus on relevant stimuli when irrelevant stimuli are also present. The second test consisted of basic arithmetic questions and was used to assess cognitive speed and working memory.
The findings showed that during the heat wave, students in the buildings without AC performed worse on the tests than students in the air-conditioned dormitories and experienced decreases across five measures of cognitive function, including reaction times and working memory. During the heat wave, students in buildings without AC experienced 13.4% longer reaction times on color-word tests, and 13.3% lower addition/subtraction test scores compared with students with air-conditioned rooms. Combined, these data show that students in rooms with AC were not just faster in their responses, but also more accurate.
Interestingly, the most significant difference in cognitive function between the two groups was seen during the cooldown period, when outdoor temperatures began to subside but indoor temperatures remained elevated in the dormitories without air conditioning.
"Indoor temperatures often continue to rise even after outdoor temperatures subside, giving the false impression that the hazard has passed, when in fact the 'indoor heat wave' continues," said Joseph Allen, assistant professor of exposure assessment science and co-director of the Center for Climate, Health, and the Global Environment (C-CHANGE) at Harvard Chan School and one of the study's senior authors. "In regions of the world with predominantly cold climates, buildings were designed to retain heat. These buildings have a hard time shedding heat during hotter summer days created by the changing climate, giving rise to indoor heat waves."
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- Cognitive Training Reduces Depression
- By Jason von Stietz, M.A.
- June 30, 2018
About half of individuals who suffer a traumatic brain injury (TBI) develop depression within a year. However, would a treatment designed to address cognitive symptoms also reduce depression? Researchers from the Center for Brain Health at the University of Texas at Dallas examined the use of cognitive training programs to address depression in those who suffered a TBI. Findings indicated that cognitive training, even when not directed toward psychiatric symptoms, related to not only cognitive improvements but also reductions in depression. The study was discussed in a recent article in Medical Xpress:
The recent study, published in Human Brain Mapping, revealed significant reductions in the severity of depressive symptoms, increased ability to regulate emotions, increases in cortical thickness and recovery from abnormal neural network connectivity after cognitive training.
"To our knowledge, this is the first study to report brain change associated with reduced depression symptoms after cognitive training," said Dr. Kihwan Han, a research scientist at the Center for BrainHealth who works in the lab of Dr. Daniel Krawczyk. Han is the lead author of the study.
"Overall, these findings suggest that cognitive training can reduce depressive symptoms in patients with traumatic brain injury even when the training does not directly target psychiatric symptoms," he said.
A past study involving the same protocol showed cognitive gains as well as similar changes in cortical thickness and neural network connectivity.
This study included 79 individuals with chronic TBI who all were at least six months post-injury. These individuals were randomly assigned into one of two groups: strategy-based training, which used the Strategic Memory Advanced Reasoning Training (SMART) program developed at the center; and information-based training, which used the Brain Health Workshop program. Researchers used the Beck Depressive Inventory to classify 53 of the participants as depressed.
The participants' depressive-symptom severity, psychological functioning scores and data from magnetic resonance imaging brain scans were collected before training, after training and three months post-training. Scans were used to study changes in brain structure and neural network connectivity.
Both training programs consisted of 12 one-and-a half-hour sessions over eight weeks that included quizzes, homework assignments, and projects conducted in small group settings that involved social interactions.
All participants in the depressed group showed significantly reduced depressive symptoms that were associated with improvements in cognitive and daily life functioning. According to Han, the social engagements, cognitive stimulation from new learning opportunities and hope of improvement afforded by both programs may help explain the reductions in depressive symptoms.
Based on the observed brain change patterns, Han suggested that improved emotion regulation also may be related to the reduced depressive symptoms. Over time, the reductions in depression symptom severity correlated with increased cortical thickness within the prefrontal cortex—an area of the brain responsible for executive functions needed for emotional control—and reductions in abnormally elevated neural connectivity within this region.
"Identifying what changes are happening in the brain when interventions successfully reduce depressive symptoms could allow us to create more effective, pharmaceutical-free approaches to help alleviate depression in people who experience chronic traumatic brain injury symptoms," said study author Dr. Sandra Bond Chapman, founder and chief director of the Center for BrainHealth, and Dee Wyly Distinguished University Professor.
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- Is Mindfulness Different Than Relaxation?
- By Jason von Stietz, M.A.
- June 21, 2018
Are the effects of mindfulness meditation the same as relaxation training? Mindfulness meditation often leads to feelings of calmness. However, the goal of mindfulness is to practice non-judgmental present moment awareness and not necessarily. Does this difference in goals lead to changes in the brain’s response? Researchers at Massachusetts General Hospital led a study utilizing functional magnetic resonance imaging to examine the difference in neural activity of participants engaging in mindfulness based stress reduction versus relaxation response training. The study was discussed in a recent article in MedicalXpress:
There are two widely used meditation-based stress reduction courses. One is based on the relaxation response—first described by Herb Benson, MD, director emeritus of the MGH-based Benson-Henry Institute for Mind Body Medicine - which focuses on eliciting a physiologic state of deep rest, the opposite of the "fight or flight" stress response. The other is Mindfulness-Based Stress Reduction, developed by Jon Kabat-Zinn, Ph.D., of the University of Massachusetts Medical School, which emphasizes a particular, non-judgmental attitude termed "mindfulness" as key to stress reduction. Although both interventions are based on meditation, the scientific philosophies and meditative traditions upon which each is founded are different, and these differences are reflected in the instructions and exercises taught to patients.
"If the hypotheses proposed by the programs' creators are in fact correct, they imply that these programs promote wellness through different mechanisms of action," says Sara Lazar, Ph.D., of the MGH Psychiatric Neuroscience Research Program, senior author of the current report and assistant professor of Psychology at Harvard Medical School. "Such a finding would suggest that these programs could potentially have different effects on disease."
To investigate that possibility, healthy adults with high levels of stress were randomized to two 8-week programs—18 completed the relaxation response program, and 16 completed the mindfulness program. Both programs successfully decreased stress and increased mindfulness in participants. However, the mindfulness program resulted in further improvements in measures such as self-compassion and rumination, clearly indicating that the programs are not the same, Lazar says.
To further understand the similarities and differences between the programs, the team measured brain activity during a meditation technique common to both programs—a body scan, in which attention is moved sequentially throughout the body to develop bodily awareness. While the relaxation response program instructs participants to deliberately relax each body area as they become aware of it, the mindfulness program just emphasizes mindful awareness and acceptance "without any attempt to change anything."
Lead author Gunes Sevinc, Ph.D., a research fellow in Lazar's laboratory says, "By directly comparing the body-scan meditations, which differed only in cognitive strategy, we were able to identify the brain regions that are involved in mediating the common and differential strategies employed by each intervention."
The results showed that the strength of neural interaction between brain regions associated with present-moment awareness and bodily attention increased during both types of body-scan meditation. But each program also showed unique patterns of brain activity in line with the different theoretical orientation of each program. The relaxation response body scan strengthened coupling between neural regions commonly associated with deliberate control, including inferior frontal gyrus and supplementary motor areas. Conversely, the mindfulness body scan strengthened coupling between neural regions associated with sensory awareness and perception, including the insula and the pregenual anterior cingulate.
"These findings indicate that the programs are working through different neural mechanisms," says Sevinc, "The relaxation response program is working more through deliberate control mechanisms, while the mindfulness program is working more through sensory awareness mechanisms. It is somewhat analogous to weight training vs. aerobic exercise—both are beneficial, but each has its unique mechanism and contribution."
Norman Farb, Ph.D., of the University of Toronto Department of Psychology, who was not part of the study, says, "Professor Lazar's neuroimaging study helps us to better appreciate how these seemingly similar practices differ in important ways. Both practices seem to promote access to neural representations of the body, but they differ in how such representations are structured. This study is important for beginning to inform the public about key differences between conceptually similar therapeutic approaches, which may in turn allow people to make more skillful decisions about which practice might be right for their personal improvement."
Lazar notes that future studies will be needed to determine whether these neural and psychological differences impact specific diseases in unique ways.
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- Does Music Reduce Anxiety in Individuals with Alzheimer's?
- By Jason von Stietz, M.A.
- May 31, 2018
Why is it that we get chills when we listen to music? Why do our favorite old songs bring us right back to certain times in our life? In fact, this effect is seen even in those with Alzheimer’s disease. Researchers at the University of Utah Health examined the use of music in managing anxiety in individuals suffering from Anxiety. The study was discussed in a recent article in MedicalXpress:
"People with dementia are confronted by a world that is unfamiliar to them, which causes disorientation and anxiety" said Jeff Anderson, M.D., Ph.D., associate professor in Radiology at U of U Health and contributing author on the study. "We believe music will tap into the salience network of the brain that is still relatively functioning."
Previous work demonstrated the effect of a personalized music program on mood for dementia patients. This study set out to examine a mechanism that activates the attentional network in the salience region of the brain. The results offer a new way to approach anxiety, depression and agitation in patients with dementia. Activation of neighboring regions of the brain may also offer opportunities to delay the continued decline caused by the disease.
For three weeks, the researchers helped participants select meaningful songs and trained the patient and caregiver on how to use a portable media player loaded with the self-selected collection of music.
"When you put headphones on dementia patients and play familiar music, they come alive," said Jace King, a graduate student in the Brain Network Lab and first author on the paper. "Music is like an anchor, grounding the patient back in reality."
Using a functional MRI, the researchers scanned the patients to image the regions of the brain that lit up when they listened to 20-second clips of music versus silence. The researchers played eight clips of music from the patient's music collection, eight clips of the same music played in reverse and eight blocks of silence. The researchers compared the images from each scan.
The researchers found that music activates the brain, causing whole regions to communicate. By listening to the personal soundtrack, the visual network, the salience network, the executive network and the cerebellar and corticocerebellar network pairs all showed significantly higher functional connectivity.
"This is objective evidence from brain imaging that shows personally meaningful music is an alternative route for communicating with patients who have Alzheimer's disease," said Norman Foster, M.D., Director of the Center for Alzheimer's Care at U of U Health and senior author on the paper. "Language and visual memory pathways are damaged early as the disease progresses, but personalized music programs can activate the brain, especially for patients who are losing contact with their environment."
However, these results are by no means conclusive. The researchers note the small sample size (17 participants) for this study. In addition, the study only included a single imaging session for each patient. It is remains unclear whether the effects identified in this study persist beyond a brief period of stimulation or whether other areas of memory or mood are enhanced by changes in neural activation and connectivity for the long term.
"In our society, the diagnoses of dementia are snowballing and are taxing resources to the max," Anderson said. "No one says playing music will be a cure for Alzheimer's disease, but it might make the symptoms more manageable, decrease the cost of care and improve a patient's quality of life."
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- Brain Science International is pleased to introduce the addition of Dr. J. Lucas Koberda, M.D., Ph.D. to our panel of experts
- By Jason von Stietz, Ph.D.
- April 3, 2018
Brain Science International is pleased to introduce the addition of Dr. J. Lucas Koberda, M.D., Ph.D. to our panel of experts. Dr. Koberda will be reading EEG’s and producing qEEG reports as well as neurofeedback recommendations.
Dr. J. Lucas Koberda, M.D.,Ph.D.
Dr. J. Lucas Koberda is a board certified neurologist and an internationally trained physician who completed his residency in Neurology at the Oregon Health Sciences University in Portland, Oregon. Prior to his neurological training, he received his Ph.D. based on his research in the area of tumor immunology. His research skills were also enhanced by post-doctoral training completed at MD. Anderson Cancer Center in Houston, Tx. Dr. Koberda is currently affiliated with The Florida State University College of Medicine. Dr. Koberda also has founded and became CEO of "Brain Enhancement, Inc." non-for profit organization. This organization focuses on neuromodulation and modern therapy of many neuropsychiatric disorders including Alzheimer's dementia, TBI, depression/anxiety, autistic spectrum/ADHD, epilepsy and chronic pain.
His main interest is in neuro-psychiatry and cognitive enhancement. He uses the newest technology of QEEG and Neurofeedback to successfully diagnose and treat many medical conditions including seizures,
headaches, fibromyalgia chronic pain, anxiety, depression, and prior stroke. Dr. Koberda has also effectively introduced neurofeedback protocols for a cognitive enhancement which may help students and professionals to improve their memory, concentration, verbal function or information processing speed.
Dr. Koberda also has been appointed in August, 2010 by Governor Charlie Christ as a member of the Alzheimer’s Disease Advisory Committee for a 4 years term (The Committee serves as an advising body to the Florida State Government). Dr. Koberda has published multiple publications in different scientific journals and serves as international neuroscience speaker and consultant.
Dr. Koberda has been appointed to the Editorial Board of the "Journal of Neurology and Stroke", "International Journal of Emergency Mental Health and Human Resilience", "Journal of Neurology and Neurobiology" and "Journal of Psychology and Clinical Psychiatry". He also serves as a reviewer-"Clinical EEG and Neuroscience" and the above journals.
Clinical skills and interests: EEG/QEEG/LORETA/Electrical Imaging (Brain Mapping), Neurofeedback, Neurotherapy, Magnetic and Electrical Stimulation, Neuromodulation, Neuropsychiatry, Forensic- neurology, EMG-NCV, Neuro-rehabilitation, IME, Teaching, Consultations, Academic and Research Interest, Clinical Trials, Public Health, Tele-neurology.
Director and Owner- J. Lucas Koberda, MD, PhD, Neurology, PL, Tallahassee Neurobalance Center.
Founder and CEO-Brain Enhancement, Inc.- non-for profit organization-since December, 2014.
Florida State University-Neurologist at FSU Health and Wellness Center-960 Learning Way, Tallahassee,
FL 32306-since November, 2016.
Active and Recent Hospital Privileges:
Neurology Consultant-Florida State Psychiatric Hospital, Chattahoochee, FL-2007-December, 2014. Consulting Neurologist- HealthSouth-Rehabilitation Hospital, Tallahassee, FL.-2007- February, 2015. CRMC Hospital-Tallahassee, FL-community privileges.
Alzheimer Disease Advisory Committee (Florida)-appointed by the Florida Governor- Charlie Christ- August 2010-October 2012.
Licensure - Active: Florida, New York State, Utah, Georgia
2012-Professor of Neurology-Carrick Institute for Graduate Studies, Cape Canaveral, FL.
2007-Clinical Assistant Professor of Neurology-Florida State University-College of Medicine, Tallahassee, FL
2001-Clinical Assistant Professor of Neurology-Albany Medical College, Albany, New York.
Neurology and Geriatrics Elective Teaching Faculty 2010-2011.
Neurology Elective Director-Florida State University-College of Medicine-CRMC hospital-2007-2010.
2013- 2014-Member of the International Board of Quantitative Electrophysiology (IBQE)
International Journal of Emergency Mental Health and Human Resilience-since 2014 Journal of Psychology and Clinical Psychiatry-since 2014,
Journal of Neurology and Stroke-since 2014,
Journal of Neurology and Neurobiology-since 2014,
Valetudinaria-Progress in Clinical and Military Medicine (European medical journal)-2005-2013.
Clinical EEG and Neuroscience-since 2013
Journal of Psychology and Clinical Psychiatry-since 2014.
Journal of Neurology and Stroke-since 2014
International Journal of Emergency Mental health and Human Resilience-since 2014
Foreign languages: English and Polish-Fluently, Russian and German-basic.
Education and Training:
Undergraduate: 1976 - 1980 M. Kopernik School Gdansk, Poland
Graduate: 1980 - 1986 Medical School in Gdansk-graduation-Oct 24, 1986 M. D.
Postgraduate Training and Employment:
Nov 1, 1986- Sep 30, 1989
Internal Medicine Residency A. Hellmann, M.D.-
Director Training, Medical School in Gdansk, Gdansk, Poland
Visiting Scientist Prof. Castoldi, M.D.-Director Department of Hematology- University of Ferrara, Italy
Oct 1, 1989-
Sep 30, 1990
Hematology, J.W. Goethe University, Frankfurt/M., Germany
Postdoctoral Training L. Bergmann, M.D.-Director Department of
Oct 25, 1990- Postdoctoral Training R. Moser, M. D. -Director
Sept 30, 1991 Department of Neurosurgry E.A. Grimm, Ph.D.-Director
And Department of Tumor Biology UT M. D. Anderson Cancer Center, Houston,
Oct 1, 1991- Postdoctoral Training R.E. Champlin, M.D.-Director
April 24, 1994 Dept. of Hematology-BMT Section, UT M. D. Anderson Cancer Center, Houston, TX
Relocation to Pennsylvania
July 1, 1994- June 30, 1995
July 1, 1995- June 30, 1998
Oct. 26, 1995 entitled
Transitional Resident-PGY-1, Easton Hospital, Easton, PA 18042 K.H Wildrick, M.D.-Director
Neurology Resident-Oregon Health Sciences University, Portland R.H. Whitham, M.D.-Director
Ph.D., degree in Immunology and Experimental Tumor Immunotherapy-paper
“Evaluation of oncolytic potential of human lymphocytes activated with low dose of IL-2 and anti-CD3 and
July 1, 1998- July 2006 March, 2004- March 2005
August 1, 2006-
Solo Neurology Practice in Potsdam, NY
Medical Director of Acute Rehabilitation Unit – CHMC-Ogdensburg, NY
present- Neurology practice in Tallahassee, FL
anti-CD28 antibodies.”-Graduated from Medical School in Warsaw-
2007-2010-Capital Regional Medical Center-Co-director of Stroke program and Neurology Elective Director-Florida State University-College of Medicine-CRMC hospital
May, 2000-2020 Board certification-Neurology- by the American Board of Psychiatry and Neurology Society-Organization Memberships:
1996 - American Academy of Neurology, Active Member-Epilepsy and Stroke section
1999-2004- Rotary International
2003-Vice President-St. Lawrence County Medical Society, NY
2004-2006 President - St. Lawrence County Medical Society, NY
2006- Member of Rural and Preventive Medicine Committee –MSSNY
2006-Delegate from St. Lawrence County to House of Delegate meeting in Buffalo, NY
2006-Member of Committee for Governmental Affairs B
2007-2012-Board of Directors-Epilepsy Association of the Big Bend, Tallahassee, FL. 2011-The Society of Applied Neurosciences.
2012-International Society for Neurofeedback and Research
2012-The Biofeedback Society of Florida.
2013-EEG and Clinical Neuroscience Society (ECNS).
Medical Advocacy and Advising:
1. May-2004- Neurology on the Hill (Washington DC) - advocacy for development of stroke centers, malpractice reforms, Medicare – organized by American Academy of Neurology (AAN).
2. June-2005- Neurology on the Hill- advocacy for malpractice reforms, Medicare and Medicaid reforms- organized by AAN.
3. Spring 2005 - Albany NY-Advocacy on the State level- Malpractice reforms, access of Medicaid patient to care and services.
4. 2003-2004- Advocacy against obesity in children- resulted in elimination of sodas and “junk” food from local schools
5. 2004-2005-Advocacy in support of “self-pay” patients and insurance coverage.
6. May-2006- Neurology on the Hill- advocacy for fixing Medicare payment formula-organized by AAN.
7. 2006- Health advisory meeting-to Congressman John M. McHugh (23rd. Congressional District of State of New York)-currently 21st United States Secretary of the Army (in the President Obama’s Cabinet).
7. March 2008-Advocacy to restrict trade medication substitution by generic anti-seizure medications without physician’s and patient’s consent-Tallahassee, FL
8. December 22nd, 2008-Host and moderator-Tallahassee Health Care Forum-the community discussion regarding health care reforms.
9. April 16th, 2009-organizer and moderator of the fundraiser to fight high infant mortality rate in Leon County, Tallahassee FL
10. October 8th, 2009-Organizer of fundraising and silent auction to support under-funded Tallahassee institutions including Epilepsy Association of the Big Bend and Neighborhood Health Services, Inc - serving underprivileged population with no health insurance.
Selected and Invited Presentations:
1999-Application of neurophysiologic testing for neurological diagnosis- Clarkson University Health Sciences- Potsdam, NY.
1999- Traumatic Brain Injury- Clarkson University Health Sciences- Potsdam, NY.
2004- New options in the treatment of epilepsy- Claxton-Hepburn Medical Center, Ogdensburg, NY.
2005- Introduction to Neurology- St. Lawrence University, Canton, NY.
2006- Introduction to Neurology- Florida State University, Tallahassee FL
2008-Introduction to diagnosis and treatment of epilepsy, Florida State Psychiatric Hospital, Tallahassee FL
2/2011-Current options in the treatment of epilepsy-hosted by the Epilepsy Association of The Big Bend.
10/2011-Quantitative EEG and Brain Disorders-invited speaker during the Brain Symposium in Tallahassee, FL.
5/25/2012-QEEG and Neurofeedback with Z-score LORETA in neurological practice-multiple-cases presentation-Cancun, Mexico-Z-score Neurofeedback workshop.
6/4/2012-Application of quantitative EEG in epilepsy and other neurological disorders-invited for the Grand Rounds presentation by the Neurology Department (Epilepsy Section) Medical University of Southern Carolina-Charleston, SC.
7/11/2012-QEEG and Neurofeedback in clinical practice-Grand Rounds presentation-Invited by Tallahassee Memorial Hospital in Tallahassee- invited by the residency program director.
7/21/2012—QEEG assessment with Z-score & LORETA neurofeedback in neuro-psychiatric disorders- invited speaker for a workshop presentation during The Biofeedback Society of Florida Meeting in Orlando, FL.
3/26/2013-Electrical Neuroimaging and Neurofeedback-Rotary Club, Tallahassee, FL.
8/8/2013-Electrical Imaging in Neuro-psychiarty-invited by the Tallahassee Memorial Hospital program director of Internal Medicine Residency Training-combined FSU/TMH hospital, Tallahassee, FL.
8/30/2013-The role of LORETA Z-score Neurofeedback in the Treatment of Neuropsychiatric Disorders- invited by Dr. Georges Otte-Medical Director of Neuropsychiatric Hospital-Ghent, Belgium.
9/21/2013-LORETA Z-score Neurofeedback in Neuropsychiatry-ISNR meeting in Dallas, TX-presented during the small group discussion section.
11/2/2013-“Z-score LORETA Neurofeedback in Clinical Practice”-invited speaker lecture during the Southeastern Biofeedback & Clinical Neuroscience Association conference in Lake Junalusca, NC.
1/7/2014-“Application of QEEG (Brain Mapping) in psychiatry-clinical implication for diagnosis and treatment”-TMH-psychiatry department, Tallahassee, FL.
3/20/2014-“Electrical Brain Imaging Cognitive Enhancement with LORETA Z-score Neurofeedback”- Advanced Psychology lecture-L. Chiles High School-Tallahassee, FL.
7/29/2014-“Electrical Brain Imaging LORETA Z-score Neurofeedback”-invited presentation-medical students-FSU.
8/15/2014-“Enhance Your Brain”-invited presentation at Maguire Center-Westminster Oaks, Tallahassee, FL.
2/12/2015-“QEEG/LORETA/Electrical imaging and Z-score LORETA Neurofeedback in neuropsychiatric diagnosis and therapy-presented during “Real-time Functional Imaging and Neurofeedback” international conference organized by University of Florida in Gainesville, FL.
2/21/2015-“Cognitive enhancement using LORETA Z-score Neurofeedback-presented during 30th Annual Alzheimer’s Disease Education and Training Conference-FSU College of Medicine-Tallahassee, FL.
2/2015-“QEEG and neurofeedback in Autistic Spectrum disorders”-invited presentation-by CARDS-FSU Autism Institute-invited by Dr. Amy Whetherby.
12-11-2015-“Neuromodulation Therapy of TBI, Cognitive Problems and Dementia”-Keynote invited speaker during the international conference-International Symposium on Clinical Neuroscience-Orlando, FL.
8/26/2016-Invited keynote speaker-QEEG and LORETA Z-score Neurofeedback application in ADHD- University of North Florida, Jacksonville, FL-Brain Symposium.
9/23/2016-ISNR international meeting in Orlando, FL-LORETA Z-score neurofeedback and electromagnetic stimulation (Neurofield) application in patients with epilepsy.
11/5/2016-invited speaker-Southeast Biofeedback and Clinical Neuroscience Association-Atlanta, GA- LORETA Z-score Neurofeedback and electromagnetic stimulation (Neurofield) application in neuropsychiatric practice.
2/4/2017-Keynote speaker-"Multiple Concussions-Analysis of Former NFL Players-Evidence of Cognitive Impairment and Brain Abnormalities."-presented during the International Symposium on Clinical Neuroscience in Orlando, FL.
Published, submitted or in preparation Articles:
1. Koberda J. Czyz J. Hellmann A. Leukocyte doubling time as a prognostic factor in chronic lymphocytic
leukemia. Acta Haemat Pol 20:195, 1989.
2. Hellmann A, Koberda J. Siekierska-Hellmann M. Use of Cyclosporin A in the treatment of Sezary's Syndrome. Pol Tyg Lek 45:444, 1990.
3. Hellmann, Koberda J. Baran W. Relationship of the duration of the chronic phase in chronic granulocytic leukemia to the total dose of busulphan in the first year of treatment. Acta Haemat Pol 21:60, 1990.
4. Koberda J. Hellmann A. Glutathione S-transferase activity of leukemic cells as a prognostic factor for response to chemotherapy in acute leukemias. Med Oncol & Tumor Pharmacother 21:35, 1991.
5. Koberda J. Bergmann L. Mitrou PS, Hoelzer D. High release of TNF-alpha, INF-gamma, IL-6 by phenotypically T-cell derived adherent lymphokine-activated killer cells. J Cancer Res Clin Oncol 117:425, 1991.
6. Koberda J. Grimm EA, Moser RP. Effect of anti-CD3/anti-CD28/IL-2 stimulation of mononuclear cells on transforming growth factor-beta inhibition of lymphokine-activated killer cells generation. J Cancer Res Clin Oncol 119:131, 1993.
7. Koberda J. Przepiorka D. Moser RP. Grimm EA. Sequential TNF and TGF-beta regulation of expansion and induction of cytotoxicity in long-term cultures of lymphokine-activated killer cells. Lymphokine & Cytokine Res. 13, 2, 1994.
8. Przepiorka D. Ippoliti C. Koberda J. Chan K.W. Khouri I. Fischer H.E. Huh Y.O. Escudier S. Seong D. Davis M. Gajewski J. Vriesendorp H. Champlin R.E. Short courses interleukin-2, cyclosporine and steroids for prevention of graft-vs-host disease after haploidentical marrow transplantation. Transplantation, 1994.
9. Lackowski D. Koberda J.L. DeLoughery T.G. So Y. Natural Killer cell leukemia as a cause of peripheral neuropathy and meningitis: a case report. Neurology. 1998. Aug; 51 (2): 640-1
10. Koberda J.L. Ischemic stroke prevention and treatment. Valetudinaria.-invited review article-1, 2006.
11. Koberda J.L. Clinical advantages of quantitative electroencephalogram (QEEG)-electrical neuroimaging application in general neurology practice-Clin. EEG Neuroscience-published-March 26, 2013.
12. Koberda J.L. Detection of mild traumatic brain injury (mTBI). Neuroconnection-winter 2011 edition (ISNR). Page- 16-17.
13. Koberda J.L., St. Hillier D., Jones B., Moses A., Koberda L.A. Application of Neurofeedback in General Neurology Practice. Journal of Neurotherapy-3 2012. Page 231-234.
14. Koberda J.L., Moses A., Koberda L, Koberda P. "Cognitive Enhancement Using 19-electrode Z-score Neurofeedback. Journal of Neurotherapy, 3-2012. page 224-230.
15. Koberda J.L. Autistic Spectrum Disorder (ASD) as a Potential Target of Z-score LORETA Neurofeedback. The Neuroconnection- winter 2012 edition (ISNR). Page 24-25.
16. Prichep, L., Surmeli, T., Thatcher, R. W., Koberda, L., Ottes, G. and Berdyugina, A. QEEG AND TRAUMATIC BRAIN INJURY: EVIDENCE BASED MEDICINE ANALYSES. In preparation-2014.
17. Koberda J.L. Koberda L. Koberda P. Moses A. Bienkiewicz A. Alzheimer’s dementia as a potential targer of Z-score LORETA 19-electrode neurofeedback. Neuroconnection, p-30-32, Winter 2013.
18. Koberda J.L., Koberda P, Bienkiewicz A, Moses A, Koberda L. Pain Management Using 19-Electrode Z- Score LORETA Neurofeedback. J. of Neurotherapy- 17:179-190, 2013.
19. Koberda JL, Paula Koberda, Andrew Moses, Jessica Winslow, Andrew Bienkiewicz, Laura
Koberda. "Z-score LORETA Neurofeedback as a potential therapy of ADHD". –summer-Special Edition- Biofeedback Magazine-2014.
20. Koberda JL, Paula Koberda, Andrew Moses, Jessica Winslow, Andrew Bienkiewicz, Laura Koberda. “Z- score LORETA Neurofeedback as a Potential Therapy in Depression and Anxiety”. Spring- Neuroconnection, p-52-55, 2014.
21. Rex L. Cannon, H. E. Pigott, Tanju Surmeli, Deborah R. Simkin, Robert W. Thatcher, Werner Van den Bergh, Gerald Gluck, Joel F. Lubar, Richard Davis, Dale S. Foster, Jonathan Douglas, Atholl T. Malcolm, Donald Bars, Kirk Little, Wes Center, Marvin Berman, Harold Russell, Barbara Hammer, and J. Lucas Koberda. The Journal of Clinical Psychiatry, Volume 75 • March 2014 • Number 3, p. 289. The Problem of Patient Heterogeneity and Lack of Proper Training in a Study of EEG Neurofeedback in Children. Letter to the editor.
21. Koberda JL,. Neuromodulation-An Emerging Therapeutic Modality in Neurology. (2014). J Neurol Stroke 2014, 1 (4) 00027. Editorial.
22. Koberda, JL. Z-score LORETA Neurofeedback as a Potential Rehabilitation Modality in Patients with CVA. (2014) J Neurol Stroke 2014, 1(5) 00029.
23. Koberda, JL. Z-score LORETA Neurofeedback as a Potential Therapy in Cognitive Dysfunction and Dementia. (2014), J Psychol Clin Psychiatry 1 (6): 00037.
24. Koberda, JL. (2015). Application of Z-score LORETA Neurofeedback in therapy of Epilepsy-Editorial- Journal of Neurology Neurology and Neurobiology-Vol. 1.1.
25. Frey LC, Koberda, JL. (2015). LORETA Z-score neurofeedback in patients with medically-refractory epilepsy-Journal of Neurology and Neurobiology-Vol. 1.1.
27. Koberda, JL, Frey LC. (2015). Application of Z-score LORETA Neurofeedback in Therapy of Epilepsy. Journal of Neurology and Neurobiology-Vol. 1.1.
28. Koberda, JL, (2015). Neurofeedback-An Alternative Therapy for Mental Disorders. The Patient Magazine-Q2-2015.
29. Koberda, JL, (2015). Traumatic Brain Injury: Is Neurofeedback the Best Available Therapy?-Editorial- Journal of neurology and Neurobiology-Vol. 1.3.
30. Koberda, JL, (2015). LORETA Z-score Neurofeedback-Effectiveness in Rehabilitation of Patients suffering from Traumatic Brain Injury. Journal of Neurology and Neurobiology-Vol. 1.4-September, 2015.
31. Koberda, JL, Akhmatova N, (2016). Masgutova Neurosensorimotor ReflexIntegration (MNRI) as a New Form of Manual Neuromodulation Technique. Journal of Neurology and Neurobiology-October, 2016, 2 (4).
32. Koberda, JL, Akhmatova N, Akhmatova E, Bienkiewicz A, Nowak, K, Nawrocka H. (2016). Masgutowa Neurosensorimotor Reflex Integration Technique induces Positive Brain Maps (QEEG) changes. Journal of Neurology and Neurobiology-October, 2016, 2 (4).
Published or submitted Abstracts:
1. Koberda J. Bergmann L. Mitrou PS. Hoelzer D. Adherent lymphokine-activated killer (A-LAK) cells-
immunological and functional characterization. Blood 76, 10, 833, Suppl., 1990
2. Koberda J. Grimm EA, Moser RP. Anti-CD3/anti-CD28 stimulation antagonizes TGF-beta suppression of IL-2-activated killer cell generation. Exp Hematol 20, 6, 435, 1992.
3. Koberda J. Przepiorka D. Moser RP. Grimm EA. TNF and TGF-beta involvement in the regulation of proliferation and killing of lymphokine-activated killer (LAK) cells in long-term cultures. Blood 80, 10, 1711, 1992.
4. Koberda J. Przepiorka D. Giralt S. Champlin RE. Characterization of immunological reconstitution of CML patients undergoing allogeneic bone marrow transplantation. Blood 80, 10, 2096, Suppl., 1992.
5. Koberda J. Przepiorka D. Moser RP. Grimm EA. At least two different forms of TGF-beta are involved in the regulation of proliferation and killing of lymphokine-activated killer (LAK) cells in long-term cultures. J Clin Oncol ASCO meeting-1993.
6. Przepiorka D. Huh YO. Mehra R. Geisler D. Koberda J. Champlin RE. Deisseroth AB. Prolonged immunodeficiency in breast cancer patients after sequential high-dose chemotherapy with or without autologous marrow support. Blood 82, 10, 679, Suppl., 1993.
7. Koberda J. Reading C. Mehra R. Champlin RE. The minimal residual disease detection by 9187 monoclonal antibody. Blood 82, 10, 2581, Suppl., 1993.
8. Koberda J. Przepiorka D. Bednarczyk J. Escudier S. Deisseroth AB. McIntyre B. Identification of E- selectin (ELAM-1) on normal human hematopoietic cells. Blood 82, 10, 113, Suppl., 1993.
9. Przepiorka D. Ippoliti C. Koberda J. Chan KW. Khouri I. Huh YO. Escudier S. Seong D. Gajewski J. Vriesendrop H. Champlin RE. Short-coures interleukin-2, cyclosporine and steroids for prevention of
graft-vs-host disease after haploidentical marrow transplantation. J. Cell. Biochem. Keystone Symposia - Jan, 1994.
10. Koberda J. Przepiorka D. Bednarczyk J. Escudier S. Champlin RE, Deisseroth AB, McIntyre BW. Identification of hyperglycosylated E-selectin (ELAM-1) expression on normal and leukemic hematopoietic cells. Exp. Hematol. Suppl., 1994.
11. Koberda J.L. Clark W. Letsup H. Nesbit G. Successful clinical recovery and reversal of mid-basilar occlusion in clinically brain dead patient with intra-arterial urokinase. Neurology. 48, Suppl. PO3.004, March, 1997.
12. Lackowski D. Koberda J.L. Natural killer cell proliferation as a cause of peripheral neuropathy. Blood. 90, 10: Suppl. 2964, November 15, 1997.
13. Koberda J.L. Clinical advantages of quantitative electroencephalogram (QEEG) application in general neurology practice-presented during the Society of Applied Neuroscience meeting-Abstract published in Neuroscience Letters, Vol. 500, Suppl. 1, July 2011, p-32.
14. Koberda J.L., Moses A. Application of quantitative electroencephalogram (QEEG) and neurofeedback in general neurology practice-presented-ISNR meeting-September, 2011.
15. Koberda J.L. Application of Quantitative EEG and LORETA in general neurology practice for detection and localization in epilepsy. Presented during the American Academy of Neurology (AAN) meeting (April 23, 2012) Neurology suppl.
16. Koberda J.L, Moses A, Koberda P, Koberda L. Comparison of the Effectiveness of Z-Score Surface/LORETA 19-Electrodes Neurofeedback to Standard 1-Electrode Neurofeedback. J. of Neurotherapy, 4, p-302, 2012.
17. Koberda J.L. Bienkiewicz A., Koberda L., Koberda P. Moses A. Electrical Imaging and Z-score LORETA Neurofeedback-New paradigm to Neuro-Psychiatric Diagnosis and Treatment. Presented during the First International Conference on Basic and Clinical Multimodal Imaging-Geneva, Switzerland-September 5-8, 2013.
18. Koberda J.L., Bienkiewicz A., Koberda L., Koberda P. Moses A. LORETA Z-score Neurofeedback as a Potential Application in Epilepsy.-presented during the ISNR meeting in Dallas-September 20, 2013- abstract expected to be published in J. of Neurotherapy, 4, 2013.
19. Koberda J.L., Bienkiewicz A., Koberda L., Koberda P. Moses A. LORETA Z-score Neurofeedback as a Potential Application in Depression.-presented during the ISNR meeting in Dallas-September 22, 2013- abstract expected to be published in J. of Neurotherapy, 4, 2013.
20. Koberda J.L., Bienkiewicz A., Koberda L., Koberda P. Moses A. High Effectiveness of LORETA Z-score Neurofeedback in the treatment of Headaches-presented during the ISNR meeting in Dallas, TX- September 19, 2013-abstract expected to be published in J. of Neurotherapy, 4, 2013.
21. Koberda J.L. Andrew Moses; Paula Koberda; Jessica Winslow
“Cognitive Enhancement with LORETA Z-score Neurofeedback”-presented during the AAPB meeting in
Savannah, GA-March, 2014.
22. Koberda, JL. Bienkiewicz A., Koberda L., Koberda P. Moses A, Winslow J. Accelerated Recovery from Traumatic Brain Injury (TBI) with Z-score Neurofeedback Therapy-presented during the ISNR meeting- San Diego, CA-October 16, 2014-published in NeuroRegulation-Vol. 1(3-4):273-316 2014.
23. Koberda, JL. QEEG/LORETA Electrical Imaging in Neuropsychiatric Disorders-Clinical Applications- ISNR meeting San Diego, CA-October 19, 2014
Published Newspaper Articles and Press Releases:
Reforming health care: Where do we go next? Tallahassee Democrat. Feb 7th, 2009
Forum focuses on the need for health-care reforms. Tallahassee Democrat. Chronicle. Feb 4th.
3. Community-health forum provides input to Obama’s transition team. Tallahassee Democrat. Jan 10th, 2009.
We can’t support defensive medicine. Tallahassee Democrat. Dec 13th. 2008.
Should we limit president’s age? Tallahassee Democrat. Oct 28th, 2008.
Health center needs community support. Tallahassee Democrat. March 31st, 2009.
Improve safety on Tallahassee roads. Tallahassee Democrat. May 9th, 2009.
Policy is shaped by right and wrong. Tallahassee Democrat. September 30th, 2009.
Computer is good for everything. Invited article in the Riviera-European newspaper in July 2012.
Dr. J. Lucas Koberda using neurofeedback to treat brain-related illnesses. Tallahassee Democrat.
March 6, 2013.
11. “Neuroscience Advances Bring Modern Therapy”-Tallahassee Democrat, December 8, 2014.
“The Migraine Revolution”-by Martin Brink-Koberda JL-contributor of neurofeedback cases-
published by Body Mind and Brain-Queensland, Australia-December 2012.
“Clinical Methods of Neurotherapy: Techniques and Treatment Applications”. Editors David Cantor and Jim Evans-author of chapter 5-Koberda, JL,“Defining Developing Evidence-Based Medicine Databases Proving Treatment Efficacy”-published-November, 2013.p-127-138. Academic Press-Elsevier.
“Advances in Neuroimaging Research”-Editor-Victoria Asher-Hansley-chapter2-Koberda,
JL. “QEEG/LORETA Electrical Imaging in Neuropsychiatry-Diagnosis and treatment Implications”- published in September, 2014. P-121-146. Nova Biomedical Publishing.
"Z Score Neurofeedback: Clinical Applications". Editor-Robert Thatcher-Koberda, JL, author of three chapters-including:
Chapter 5-“Z-score LORETA Neurofeedback as a Potential Therapy in Depression/Anxiety and Cognitive Dysfunction”.
Chapter 6-“LORETA Z-score Neurofeedback in Chronic Pain and Headaches”.
Chapter 10-“Therapy of Seizures and Epilepsy with Z-score LORETA Neurofeedback- October 2014-Academic Press-Elsevier.
Asperger Syndrome: Risk Factors, Cognitive-Behavioral Characteristics and Management Strategies-Editor-Michael Shaughnessy-chapter by Koberda, JL. “QEEG/LORETA Electrical Imaging and Z-score LORETA Neurofeedback-New Approach to Diagnosis and Therapy of Autistic Spectrum Disorders (ASD)”- published March, 2015.
Handbook of Clinical QEEG and Neurotherapy-Edited by Tom Collura and Jon Frederick-Koberda JL-book chapter-“LORETA Z-score Neurofeedback in Neuropsychiatric Practice”-published- December, 2016.
Updated on 2/4/2017
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- Holding Hands With a Loved One Synchronized Heart Rate And Brainwaves, Decreases Pain
- By Jason von Stietz, Ph.D.
- March 25, 2018
Why does holding hands with a loved one seem to comfort us? Researchers at the University of Colorado, Boulder and the University of Haifa examined the relationship between holding hands with a spouse or partner and the experience of physical pain. Findings showed that when couples held hands their brainwaves and respiration synchronized and their experience of pain from a mild burn decreased. The study was discussed in a recent article in Neuroscience News:
“We have developed a lot of ways to communicate in the modern world and we have fewer physical interactions,” said lead author Pavel Goldstein, a postdoctoral pain researcher in the Cognitive and Affective Neuroscience Lab at CU Boulder. “This paper illustrates the power and importance of human touch.”
The study is the latest in a growing body of research exploring a phenomenon known as “interpersonal synchronization,” in which people physiologically mirror the people they are with. It is the first to look at brain wave synchronization in the context of pain, and offers new insight into the role brain-to-brain coupling may play in touch-induced analgesia, or healing touch.
Goldstein came up with the experiment after, during the delivery of his daughter, he discovered that when he held his wife’s hand, it eased her pain.
“I wanted to test it out in the lab: Can one really decrease pain with touch, and if so, how?”
He and his colleagues at University of Haifa recruited 22 heterosexual couples, age 23 to 32 who had been together for at least one year and put them through several two-minute scenarios as electroencephalography (EEG) caps measured their brainwave activity. The scenarios included sitting together not touching; sitting together holding hands; and sitting in separate rooms. Then they repeated the scenarios as the woman was subjected to mild heat pain on her arm.
Merely being in each other’s presence, with or without touch, was associated with some brain wave synchronicity in the alpha mu band, a wavelength associated with focused attention. If they held hands while she was in pain, the coupling increased the most.
Researchers also found that when she was in pain and he couldn’t touch her, the coupling of their brain waves diminished. This matched the findings from a previously published paper from the same experiment which found that heart rate and respiratory synchronization disappeared when the male study participant couldn’t hold her hand to ease her pain.
“It appears that pain totally interrupts this interpersonal synchronization between couples and touch brings it back,” says Goldstein.
Subsequent tests of the male partner’s level of empathy revealed that the more empathetic he was to her pain the more their brain activity synced. The more synchronized their brains, the more her pain subsided.
How exactly could coupling of brain activity with an empathetic partner kill pain?
More studies are needed to find out, stressed Goldstein. But he and his co-authors offer a few possible explanations. Empathetic touch can make a person feel understood, which in turn – according to previous studies – could activate pain-killing reward mechanisms in the brain.
“Interpersonal touch may blur the borders between self and other,” the researchers wrote.
The study did not explore whether the same effect would occur with same-sex couples, or what happens in other kinds of relationships. The takeaway for now, Pavel said: Don’t underestimate the power of a hand-hold.
“You may express empathy for a partner’s pain, but without touch it may not be fully communicated,” he said.
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- Key Difference in the Brains of Super-Agers
- By Jason von Stietz, M.A.
- March 9, 2018
Why do some people in their 90’s seem mentally sharp when others do not? Researchers at Northwestern University examined the brains and cognitive abilities of “super-agers.” Findings from autopsies showed that the brains of super-agers had a significantly thicker cortex than those of their average peers. The study was discussed in a recent article in MedicalXpress:
It's pretty extraordinary for people in their 80s and 90s to keep the same sharp memory as someone several decades younger, and now scientists are peeking into the brains of these "superagers" to uncover their secret.
The work is the flip side of the disappointing hunt for new drugs to fight or prevent Alzheimer's disease.
Instead, "why don't we figure out what it is we might need to do to maximize our memory?" said neuroscientist Emily Rogalski, who leads the SuperAging study at Northwestern University in Chicago.
Parts of the brain shrink with age, one of the reasons why most people experience a gradual slowing of at least some types of memory late in life, even if they avoid diseases like Alzheimer's.
But it turns out that superagers' brains aren't shrinking nearly as fast as their peers'. And autopsies of the first superagers to die during the study show they harbor a lot more of a special kind of nerve cell in a deep brain region that's important for attention, Rogalski told a recent meeting of the American Association for the Advancement of Science.
These elite elders are "more than just an oddity or a rarity," said neuroscientist Molly Wagster of the National Institute on Aging, which helps fund the research. "There's the potential for learning an enormous amount and applying it to the rest of us, and even to those who may be on a trajectory for some type of neurodegenerative disease."
What does it take to be a superager? A youthful brain in the body of someone 80 or older. Rogalski's team has given a battery of tests to more than 1,000 people who thought they'd qualify, and only about 5 percent pass. The key memory challenge: Listen to 15 unrelated words, and a half-hour later recall at least nine. That's the norm for 50-year-olds, but the average 80-year-old recalls five. Some superagers remember them all.
"It doesn't mean you're any smarter," stressed superager William "Bill" Gurolnick, who turns 87 next month and joined the study two years ago.
Nor can he credit protective genes: Gurolnick's father developed Alzheimer's in his 50s. He thinks his own stellar memory is bolstered by keeping busy. He bikes, and plays tennis and water volleyball. He stays social through regular lunches and meetings with a men's group he co-founded.
"Absolutely that's a critical factor about keeping your wits about you," exclaimed Gurolnick, fresh off his monthly gin game.
Rogalski's superagers tend to be extroverts and report strong social networks, but otherwise they come from all walks of life, making it hard to find a common trait for brain health. Some went to college, some didn't. Some have high IQs, some are average. She's studied people who've experienced enormous trauma, including a Holocaust survivor; fitness buffs and smokers; teetotalers and those who tout a nightly martini.
But deep in their brains is where she's finding compelling hints that somehow, superagers are more resilient against the ravages of time.
Early on, brain scans showed that a superager's cortex—an outer brain layer critical for memory and other key functions—is much thicker than normal for their age. It looks more like the cortex of healthy 50- and 60-year-olds.
It's not clear if they were born that way. But Rogalski's team found another possible explanation: A superager's cortex doesn't shrink as fast. Over 18 months, average 80-somethings experienced more than twice the rate of loss.
Another clue: Deeper in the brain, that attention region is larger in superagers, too. And inside, autopsies showed that brain region was packed with unusual large, spindly neurons—a special and little understood type called von Economo neurons thought to play a role in social processing and awareness.
The superagers had four to five times more of those neurons than the typical octogenarian, Rogalski said—more even than the average young adult.
The Northwestern study isn't the only attempt at unraveling long-lasting memory. At the University of California, Irvine, Dr. Claudia Kawas studies the oldest-old, people 90 and above. Some have Alzheimer's. Some have maintained excellent memory and some are in between.
About 40 percent of the oldest-old who showed no symptoms of dementia in life nonetheless have full-fledged signs of Alzheimer's disease in their brains at death, Kawas told the AAAS meeting.
Rogalski also found varying amounts of amyloid and tau, hallmark Alzheimer's proteins, in the brains of some superagers.
Now scientists are exploring how these people deflect damage. Maybe superagers have different pathways to brain health.
"They are living long and living well," Rogalski said. "Are there modifiable things we can think about today, in our everyday lives" to do the same?
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- Why Some People Cannot See Pictures in Their Mind
- By Jason von Stietz, M.A.
- February 9, 2018
Some people are able to clearly visualize objects in their “mind’s eye” while others are unable to visualize objects at all. The inability to picture something in your mind is called Aphantasia. Recently researcher from the University of New South Wales investigated this phenomenon. The findings were discussed in a recent article in Neuroscience News:
One of the creators of the Firefox internet browser, Blake Ross, realised his experience of visual imagery was vastly different from most people when he read about a man who lost his ability to imagine after surgery. In a Facebook post, Ross said:
“What do you mean ‘lost’ his ability? […] Shouldn’t we be amazed he ever had that ability?”
We’ve heard from many people who have experienced a similar epiphany to Ross. They too were astonished to discover that their complete lack of ability to picture visual imagery was different from the norm.
Visual imagery is involved in many everyday tasks, such as remembering the past, navigation and facial recognition, to name a few. Anecdotal reports from our aphantasic participants indicate that while they are able to remember things from their past, they don’t experience these memories in the same way as someone with strong imagery. They often describe them as a conceptual list of things that occurred rather than a movie reel playing in their mind.
As Ross describes it, he can ruminate on the “concept” of a beach. He knows there’s sand and water and other facts about beaches. But he can’t conjure up beaches he’s visited in his mind, nor does he have any capacity to create a mental image of a beach.
The idea some people are born wholly unable to imagine is not new. In the late 1800s, British scientist Sir Francis Galton conducted research asking colleagues and the general population to describe the quality of their internal imagery. These studies, however, relied on self-reports, which are subjective in nature. They depend on a person’s ability to assess their own mental processes – called introspection.
But how can I know that what you see in your mind is different to what I see? Perhaps we see the same thing but describe it differently. Perhaps we see different things but describe them the same.
Some researchers have suggested aphantasia may actually be a case of poor introspection; that aphantasics are in fact creating the same images in their mind as perhaps you and I, but it is their description of them that differs. Another idea is that aphantasics create internal images just like everyone else, but are not conscious of them. This means it’s not that their minds are blind, but they lack an internal consciousness of such images.
In a recent study we set out to investigate whether aphantasics are really “blind in the mind” or if they have difficulty introspecting reliably.
To assess visual imagery objectively, without having to rely on someone’s ability to describe what they imagine, we used a technique known as binocular rivalry – where perception alternates between different images presented one to each eye. To induce this, participants wear 3D red-green glasses, where one eye sees a red image and the other eye a green one. When images are superimposed onto the glasses, we can’t see both images at once, so our brain is constantly switching from the green to the red image.
But we can influence which of the coloured images someone will see in the binocular rivalry display. One way is by getting them to imagine one of the two images beforehand. For example, if I asked you to imagine a green image, you will be more likely to see the green image once you’ve put on 3D glasses. And the stronger your imagery is the more frequently you will see the image you imagine.
We use how often a person sees the image they imagine as a measure of objective visual imagery. Because we’re not relying on the participant rating the vividness of the image in their mind, but on what they physically see in the binocular rivalry display, it removes the need for subjective introspection.
In our study, we asked self-described aphantasics to imagine either a red circle with horizontal lines or a green circle with vertical lines for six seconds before being presented with a binocular rivalry display while wearing the glasses. They then indicated which image they saw. They repeated this for close to 100 trials.
We found that when the aphantasics tried to form a mental image, their attempted imagined picture had no effect on what they saw in the binocular rivalry illusion. This suggests they don’t have a problem with introspection, but appear to have no visual imagery.
Why some people are mind blind
Research in the general population shows that visual imagery involves a network of brain activity spanning from the frontal cortex all the way to the visual areas at the back of the brain.
Current theories propose that when we imagine something, we try to reactivate the same pattern of activity in our brain as when we saw the image before. And the better we are able to do this, the stronger our visual imagery is. It might be that aphantasic individuals are not able to reactivate these traces enough to experience visual imagery, or that they use a completely different network when they try to complete tasks that involve visual imagery.
But there may be a silver lining to not being able to imagine visually. Overactive visual imagery is thought to play a role in addiction and cravings, as well as the development of anxiety disorders such as PTSD. It may be that the inability to visualise might anchor people in the present and allow them to live more fully in the moment.
Understanding why some people are unable to create these images in mind might allow us to increase their ability to imagine, and also possibly help us to tone down imagery in those for whom it has become overactive.
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- Exercise Recommended in Treatment of Mild Cognitive Impairment
- By Jason von Stietz, MA
- January 11, 2018
According to the American Academy of Neurology, 6 percent of individuals in their 60’s suffer from mild cognitive impairment. Clinicians from the Mayo Clinic suggest that regular physical exercise totaling 150 minutes a week should be part of treatment to address symptoms related to mild cognitive impairment. This new guideline was discussed in recent article in Medical Xpress:
The recommendation is part of an updated guideline for mild cognitive impairment published in the Dec. 27 online issue of Neurology, the medical journal of the American Academy of Neurology.
"Regular physical exercise has long been shown to have heart health benefits, and now we can say exercise also may help improve memory for people with mild cognitive impairment," says Ronald Petersen, M.D., Ph.D., lead author, director of the Alzheimer's Disease Research Center, Mayo Clinic, and the Mayo Clinic Study of Aging. "What's good for your heart can be good for your brain." Dr. Petersen is the Cora Kanow Professor of Alzheimer's Disease Research.
Mild cognitive impairment is an intermediate stage between the expected cognitive decline of normal aging and the more serious decline of dementia. Symptoms can involve problems with memory, language, thinking and judgment that are greater than normal age-related changes.
Generally, these changes aren't severe enough to significantly interfere with day-to-day life and usual activities. However, mild cognitive impairment may increase the risk of later progressing to dementia caused by Alzheimer's disease or other neurological conditions. But some people with mild cognitive impairment never get worse, and a few eventually get better.
The academy's guideline authors developed the updated recommendations on mild cognitive impairment after reviewing all available studies. Six-month studies showed twice-weekly workouts may help people with mild cognitive impairment as part of an overall approach to managing their symptoms.
Dr. Petersen encourages people to do aerobic exercise: Walk briskly, jog, whatever you like to do, for 150 minutes a week—30 minutes, five times or 50 minutes, three times. The level of exertion should be enough to work up a bit of a sweat but doesn't need to be so rigorous that you can't hold a conversation. "Exercising might slow down the rate at which you would progress from mild cognitive impairment to dementia," he says.
Another guideline update says clinicians may recommend cognitive training for people with mild cognitive impairment. Cognitive training uses repetitive memory and reasoning exercises that may be computer-assisted or done in person individually or in small groups. There is weak evidence that cognitive training may improve measures of cognitive function, the guideline notes.
The guideline did not recommend dietary changes or medications. There are no drugs for mild cognitive impairment approved by the U.S. Food and Drug Administration.
More than 6 percent of people in their 60s have mild cognitive impairment across the globe, and the condition becomes more common with age, according to the American Academy of Neurology. More than 37 percent of people 85 and older have it.
With such prevalence, finding lifestyle factors that may slow down the rate of cognitive impairment can make a big difference to individuals and society, Dr. Petersen notes.
"We need not look at aging as a passive process; we can do something about the course of our aging," he says. "So if I'm destined to become cognitively impaired at age 72, I can exercise and push that back to 75 or 78. That's a big deal."
The guideline, endorsed by the Alzheimer's Association, updates a 2001 academy recommendation on mild cognitive impairment. Dr. Petersen was involved in the development of the first clinical trial for mild cognitive impairment and continues as a worldwide leader researching this stage of disease when symptoms possibly could be stopped or reversed.
View to the article here
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