Tuesday, December 10, 2019

In social isolation, the brain begins to act in strange ways to preserve its sanity

Humans are hardwired to interact with others, especially during times of stress. On the other hand, when we go through a trying ordeal alone, a lack of emotional support and comradeship can increase our anxiety and hinder our ability to cope.

This message is forcefully driven home in the newly released thriller “Shut In.” Naomi Watts plays a widowed child psychologist who lives in isolation in rural New England with her son, who is comatose and bedridden as the result of an automobile accident. Snowed in and withdrawn from the outside world, Watts’ character descends into a desperate existence. It soon becomes difficult for her to distinguish the phantasms of her imagination from the reality of the creepy goings-on in her apparently haunted house.

“Shut In,” of course, isn’t the first movie to use isolation as a vehicle for madness. The characters played by Jack Nicholson in “The Shining” and Tom Hanks in “Castaway” found themselves in similar predicaments. Although movies like “Shut In” are fictional, the toll on the protagonist’s psyche from being so alone for so long is based on the science of social isolation.
The importance of human connection

Yes, other people can be irritating. But they are also our greatest source of comfort, and an impressive amount of psychological research underscores the importance of human contact.

Rejection by others psychologically wounds us more deeply than almost anything else, and research by neuroscientists reveals that ostracism can lead to feeling actual physical pain. Other studies confirm that loneliness isn’t good for anyone’s health. It increases levels of stress hormones in the body while leading to poor sleep, a compromised immune system and, in the elderly, cognitive decline. The damage that solitary confinement inflicts on the mental health of prison inmates has also been well-documented.

Alone in an unchanging environment, the sensory information available to us and the ways in which we process it can change in unpredictable ways. For example, we normally spend most of our time attending to and processing external stimuli from the physical world around us. However, monotonous stimulation from our surroundings may cause us to turn our attention inward – within ourselves – which most of us have much less experience handling.

This can lead to a profoundly altered state of consciousness. We may begin to question what’s going on in our surroundings; Is that creaking sound upstairs just an old house pushing back against the wind, or is it something more sinister? This ambivalence leaves us frozen in place, wallowing in unease, especially if we’re alone. When we’re uncertain, the first thing we usually do is to look to the reactions of others to figure out what is going on. Without others with whom to share information and reactions, ambiguity becomes very hard to resolve. When this happens, our mind may quickly race to the darkest possible conclusions.

Unpleasant things can also happen when small groups of people experience isolation together. Much of what we know about this phenomenon has been gathered from observing the experiences of volunteers at research stations in Antarctica, especially during the “wintering-over” period.
The extreme temperatures, long periods of darkness, alien landscapes and severely reduced sensory input created a perfect natural laboratory for studying the effects of isolation and confinement. The volunteers experienced changes in appetite and sleep patterns. Some stopped being able to accurately track the passage of time and lost the ability to concentrate. The boredom from being around the same people, with limited sources of entertainment, ended up causing a lot of stress. Everyone else’s mannerisms became a grating, annoying and inescapable source of torment.

But perhaps the strangest thing that can happen to someone in isolation is the experience of the “sensed presence,” or the feeling that another person or even a supernatural being is with us.

Sensed presences usually appear in environments with static physical and social stimulation – in other words, when you’re by yourself in a quiet, remote place, just like Naomi Watts’ character in “Shut In.” Low temperature and high levels of stress are also common ingredients.

Some of the most compelling descriptions of sensed presences come from lone sailors, mountain climbers and arctic explorers who have experienced hallucinations and out-of-body experiences. In one amazing 1895 incident, Joshua Slocum, the first person to circumnavigate the globe in a sailboat single-handedly, said he saw and spoke with the pilot of Christopher Columbus’ ship “The Pinta.” Slocum claimed that the pilot steered his boat through heavy weather as he lay ill with food poisoning.

The vividness of a presence can range from a vague feeling of being watched to seeing a seemingly real person. It could be a god, a spirit, an ancestor or a personal acquaintance. A famous example occurred in 1933, when British explorer Frank Smythe attempted to climb Mt. Everest alone. He became so convinced that someone else was accompanying him on his climb that he even offered a piece of cake to his invisible climbing partner.

Possible explanations for a sensed presence include the the movement of boats (if sailing solo) and atmospheric or geomagnetic activity. Stress, lack of oxygen, monotonous stimulation or a buildup of hormones can trigger changes in brain chemistry that induce altered states of consciousness. There’s actually exciting new evidence from a research group led by neuroscientist Olaf Blanke demonstrating that stimulating specific brain regions can trick people into feeling the “presence” of a ghostly apparition.

Although sensed presences are most frequently reported by people in weird or dangerous places, it’s not unreasonable to assume that such experiences can happen in more mundane surroundings. For example, people who have lost a loved one may shut themselves off from the outside world and rarely leave their homes. The loneliness and isolation, coupled with high levels of stress and unchanging sensory stimulation, might very well produce the same biological conditions that could trigger a “visit” from the recently departed. Studies indicate that almost half of widowed elderly Americans will report having hallucinations of their dead spouse. These experiences seem to be a healthy coping mechanism and a normal part of grieving.

What might all of this say about the way we’re hardwired?

It’s clear that meaningful connection to other people is as essential to health as the air we breathe. Given that prolonged periods of social isolation can crack even the hardiest of individuals, perhaps in the absence of actual human contact our brains may manufacture social experiences – a last-ditch attempt to preserve our sanity.


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Tuesday, November 12, 2019

AI can predict if you will die within next year

After looking at standard ECG tests, Artificial Intelligence (AI) can help identify patients most likely to die of any medical cause within a year, claim researchers.

To reach this conclusion, researchers from Geisinger Health System in Pennsylvania analyzed the results of 1.77 million ECGs and other records from almost 400,000 patients. 

The team used this data to compare machine learning-based models that either directly analyzed the raw ECG signals or relied on aggregated human-derived measures (standard ECG features typically recorded by a cardiologist) and commonly diagnosed disease patterns.

The neural network model that directly analyzed the ECG signals was found to be superior for predicting one-year risk of death. Surprisingly, the neural network was able to accurately predict risk of death even in patients deemed by a physician to have a normal ECG. 

Three cardiologists separately reviewed the ECGs that had first been read as normal, and they were generally unable to recognize the risk patterns that the neural network detected, researchers said. 

"This is the most important finding of this study. This could completely alter the way we interpret ECGs in the future," said Brandon Fornwalt, chair of the Department of Imaging Science and Innovation at Geisinger in Danville, Pennsylvania.

Another study by the same group of researchers found that AI-based models can analyse ECG test results and pinpoint patients at higher risk of developing a potentially dangerous irregular heartbeat (arrhythmia).

The team used more than two million ECG results from more than three decades of archived medical records in Pennsylvania/New Jersey's Geisinger Health System to train deep neural networks.

They found that Artificial intelligence can examine ECG test results, to predict irregular heartbeat and the death risk, according to the two preliminary studies to be presented at the American Heart Association's Scientific Sessions 2019 in Philadelphia from November 16-18.

While the vast Geisinger database is a key strength of both studies, the findings should be tested at sites outside of Geisinger, the researchers noted. 

"Incorporating these models into routine ECG analysis would be simple. However, developing appropriate care plans for patients based on computer predictions would be a bigger challenge," said lead author Sushravya Raghunath.

Both studies are among the first to use AI to predict future events from an ECG rather than to detect current health problems.

"This is exciting and provides more evidence that we are on the verge of a revolution in medicine where computers will be working alongside physicians to improve patient care," said Fornwalt.

Atrial fibrillation is associated with higher risk of stroke and heart attack. Jennifer Hall, the American Heart Association Chief of the Institute for Precision Cardiovascular Medicine, said that deep learning is "terrific as another way for us in our field of cardiovascular medicine to be able to help patients and help those understand the risk of stroke."

"Having these techniques at our fingertips and having more precise techniques to uncover potential atrial fibrillation now or in the future, is absolutely tremendous," Hall noted.


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Thursday, May 15, 2014

Shape-changing implantable transistors grip living tissue

These implantable shape changing transistors can grip nerves and tissues, changing shape w...
 These implantable shape changing transistors can grip nerves and tissues, changing shape within the body, while still maintaining their electronic properties.


A multinational group of scientists has developed implantable shape-changing transistors that can grip nerves, blood vessels and tissues. According to the researchers, these soft electronic devices can change shape within the body, while still maintaining their electronic properties, allowing them to be used in a variety of applications and treatments.

The result of a collaboration between scientists at the University of Tokyo, Japan and The University of Texas, Dallas, the soft transistors are being designed to change shape in ways that are more biologically compatible.

"Scientists and physicians have been trying to put electronics in the body for a while now, but one of the problems is that the stiffness of common electronics is not compatible with biological tissue," says Jonathan Reeder, the study's lead author. "You need the device to be stiff at room temperature so the surgeon can implant the device, but soft and flexible enough to wrap around 3D objects so the body can behave exactly as it would without the device."

To get the device to behave accordingly, the group integrated the electronics into softening and shape-changing polymer material and also added layers of flexible electronic foils. In their normal state outside the body, the transistors are rigid. Once implanted, they become soft when heated and can flex to grip living tissue.

"We used a new technique in our field to essentially laminate and cure the shape memory polymers on top of the transistors," said the team's Dr. Walter Voit. "In our device design, we are getting closer to the size and stiffness of precision biologic structures, but have a long way to go to match nature’s amazing complexity, function and organization.”

In tests conducted in rats, the scientists heated the implanted transistors to get them to grip a cylinder 2.25 mm (0.08 in) in diameter. The device maintained its electronic properties, the researchers reported, even after it had wrapped itself around tissue.

The group's overall goal is to engineer shape changing electronic devices whose presence within the body is less intrusive as an alternative to flexible plastic-based electronic devices that continue to hold on to their shape and stiffness. Moving forward, the researchers plan to equip these soft electronics with more sensors and shrink the device's size to enable it to flex around even smaller objects.


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