Friday, 4 November 2016

How would you describe the main characters of The Prime of Miss Jean Brodie?

The Brodie set and their teacher Miss Jean Brodie are arguably Muriel Spark’s most famous and well-developed characters in the author’s oeuvre. The Brodie set is led by the undeniably charismatic Miss Jean Brodie, an independent, progressive, unmarried woman who is in touch with her sensuality and idolizes fascist ideas. Throughout the novel, Brodie is constantly equated with fascism in part because she imposes her will upon the set and lives vicariously through them, and also because she considers her ideology infallible. She has an interesting pedagogical approach in that she treats her students more like peers than children, but her methodology is flawed because she imposes her own overbearing opinions on the girls. Indeed, she emphasizes the importance of art over science, and in doing so, she disenfranchises Sandy Stranger:


“I can’t have my girls going up and down to the science room like this. We must keep our good name…. Art is greater than science. Art comes first, and then science” (24).



The main character among the Brodie set is Sandy Stranger. She is a foil to Miss Jean Brodie. She is strong-willed much like Brodie, but she rejects Brodie's restrictive tenets while simultaneously acknowledging and respecting Brodie’s allure. She is the member who betrays Brodie, and later goes on to become a Catholic nun. Interestingly, she runs from one oppressive force to another structured hierarchy in the form of the Catholic Church. She strives to become the opposite of what Brodie expects; for Sandy, Miss Jean Brodie represents predetermination and fascism, and she potently compares her to Calvinism:



“She thinks she is Providence, thought Sandy, she thinks she is the God of Calvin, she sees the beginning and the end. And Sandy thought too, the woman is an unconscious Lesbian” (129).



The rest of the Brodie set is not as fleshed out as Sandy or Miss Jean Brodie, and they are defined somewhat superficially. These superficial designations reflect their position within the Brodie set, and how they’ve allowed themselves to be defined. Rose Stanley is defined by her sensuality, as she was “famous for sex” (3). Brodie describes her as having “instinct”:



“Rose… is like a heroine from a novel by D.H. Lawrence. She has got instinct” (117).



Mary Macgregor is noted as a dimwit, and is the Brodie set’s punching bag:



“Along came Mary Macgregor, the last member of the set, whose fame rested on her being a silent lump, a nobody whom everybody could blame” (4).



She ends up dying in a fire later in her brief life.


Eunice Gardner is “famous for her spritely gymnastics and glamorous swimming” (3). Likewise, Monica Douglas is superficially sketched as famous for her anger and being good at mathematics. Finally, Jenny Gray is the beauty of the group, and she aspires to be an actress. While the rest of the group is not as well-defined as Sandy and Brodie, they are important in serving as vessels for Brodie to store her unorthodox teachings.

What are flashbacks? |


Acute Flashbacks

Acute flashbacks are sensory or emotional experiences in which a person relives a past event or experience. Most flashbacks are spontaneous and triggered by a particular sight, sound, or smell. The person undergoing a flashback recalls sounds, smells, images, and feelings often more vivid than they were during the original event or experience. Acute flashbacks are unexpected and short lasting. In most cases, they are benign, pleasant, even comforting. In some cases, however, they are disturbing and can lead to psychotic episodes, severe depression, or schizophrenia.






Chronic Flashbacks

Hallucinogen persisting perception disorder (HPPD) is a chronic condition in which recurring flashbacks interfere with a person’s daily life. In mild cases, flashbacks occur infrequently. In extreme cases, flashbacks occur regularly and begin to distort a person’s perception of reality. HPPD is associated with the use of hallucinogenic drugs. Flashbacks can occur any time, from a day to a year after taking a hallucinogen.


HPPD flashbacks cause visual disturbances. The person suffering HPPD may see flashes of intense color; auras around people’s heads; dancing geometric shapes; images trailing moving objects; positive afterimages, in which objects remain in the brain after they have left the field of vision; or distortions in which objects appear larger or smaller than they are in actuality.




Trauma-related Flashbacks

Trauma-related, or nondrug-related, flashbacks were first described medically by doctors treating World War I combat veterans. These types of flashbacks are seen not only in combat veterans but also in other people who have experienced severe trauma, such as witnessing violent death. Flashbacks affect many persons with post-traumatic stress disorder.




Drug-related Flashbacks

Hallucinogens are the drugs most associated with flashbacks. LSD (lysergic acid diethylamide, or acid); psilocybin in certain mushrooms; and PCP (phencyclidine, or angel dust), originally an anesthetic, are the main hallucinogenic, or psychedelic, drugs. By far, LSD is the most commonly used and studied psychedelic.


During LSD flashbacks, users experience an abbreviated version of an earlier drug trip, or experience, without taking the drug. Many users report that the flashbacks are even more intense than the original trips. The flashbacks can be isolated or recurring, brief or drawn-out, pleasant or disturbing, and benign or damaging. Because LSD flashbacks usually appear suddenly, without warning, they can disrupt a person’s daily routine and lead to unpredictable behavior.


Chronic LSD users are more prone to flashbacks than occasional users. People with an underlying emotional problem and people highly susceptible to suggestion also are more prone to flashbacks than healthy users. Even emotionally healthy people who have used LSD only once or twice can experience flashbacks more than one year after taking the drug.




Causes

Scientists do not fully understand the biochemical processes through which hallucinogens affect the mind and body, and they do not know the causes of LSD flashbacks and HPPD. Research suggests several theories for flashbacks.


First, drugs can remain stored in body fat and in some organs—lungs, kidneys, liver, brain—long after they are taken. When the body burns fat during strenuous activity, the drugs might enter the bloodstream, causing the person to experience some of the drug’s effects. Second, LSD might have damaged the brain, causing it to send incorrect signals. Third, LSD may have changed the way the brain functions and processes information, which may account for the accompanying visual disturbances. Another theory holds that flashbacks have nothing to do with psychedelic drugs, but that flashbacks are naturally occurring altered states of consciousness that are not understood and, consequently, mislabeled or misinterpreted by drug users.




Triggers

Although scientists do not know the causes of flashbacks, they are reasonably sure of certain triggers. Common flashback triggers include physical or mental stress; physical or mental fatigue; lack of sleep; marijuana or alcohol binging; the use of certain prescription drugs, including antidepressants; and mild sensory deprivation. People sometimes deliberately induce mild sensory deprivation to alter their consciousness or to deeply relax. To induce mild sensory deprivation, a person might focus intensely on one particular sound, blocking out all other background sound, or might stare at a solid-colored surface without blinking for an extended period.




Treatment

No specific treatment exists for flashbacks. Doctors have prescribed certain medications, such as antiseizure drugs, for people suffering HPPD. However, the effectiveness of these drugs remains debatable because of the unpredictability of flashbacks and because of the uncertainty of their cause. Treatment for trauma-related flashbacks generally follows the protocols for treating mild mental disorders: talk therapy or other forms of psychotherapy.




Bibliography


Baggott, Matthew, et al. “Abnormal Visual Experiences in Individuals with Histories of Hallucinogen Use: A Web-Based Questionnaire.” Drug and Alcohol Dependence 114 (2011): 61–67. Print.



“Hallucinogens: LSD, Peyote, Psilocybin, and PCP.” 18 Feb. 2012. Web. http://www.drugabuse.gov/infofacts/hallucinogens.html.



Heaton, Robert. “Subject Expectancy and Environmental Factors as Determinants of Psychedelic Flashback Experiences.” Journal of Nervous and Mental Disease 161 (1975): 157–65. Print.



Lerner, Arturo, et al. “Flashback and Hallucinogen Persisting Perception Disorder: Clinical Aspects and Pharmacological Treatment Approach.” Israel Journal of Psychiatry and Related Sciences 39 (2002): 92–99. Print.



Myers, Lin, Shelly Watkins, and Thomas Carter. “Flashbacks in Theory and Practice.” Heffter Review of Psychedelic Research 1 (1998): 51–57. Print.

Thursday, 3 November 2016

What rights did free African Americans in the 1860's have?

In theory, though not always in practice, and certainly not in the South, free African Americans after 1865 were granted the full rights of citizenship under the 14th Amendment, and the right to vote under the 15th Amendment. The 14th Amendment extended to all people born in the United States the full rights of citizenship, including the right to own property. Under Reconstruction, the Union Army used its military occupation of the southern states to...

In theory, though not always in practice, and certainly not in the South, free African Americans after 1865 were granted the full rights of citizenship under the 14th Amendment, and the right to vote under the 15th Amendment. The 14th Amendment extended to all people born in the United States the full rights of citizenship, including the right to own property. Under Reconstruction, the Union Army used its military occupation of the southern states to enforce this new rule of law, and as a result, for the first time, African Americans became members of the House of Representatives, members of municipal governments, and began to exercise their franchise.African Americans in the northerns states had these same rights, and continued to benefit from them.


Unfortunately, once Reconstruction in the South ended, southern state governments passed the Black Codes, which introduced the poll tax, literacy test and other laws that made it practically impossible for African Americans to vote or hold office. Furthermore, the Black Codes gave municipal governments the right to issue or deny work permits for all manner of professions and skilled trades, and because these governments again came under the authority of racist whites, they shut African Americans in the South out of virtually all good paying jobs. This development forced most African Americans to either flee to the North, or take up sharecropping, a watered down form of servitude. 


So, for a short period of time after the Civil War ended and up until the U.S. military ended its occupation of the southern states in The Compromise of 1877, freed African Americans enjoyed economic and political freedoms that they would not again enjoy until after the Civil Rights movement in the 1960s. This period of history demonstrates that even when a government grants rights to its citizens, if that government is not willing to protect the rights of those citizens, then those so-called rights do not really exist.

What might be a good thesis statement for an essay on Shakespeare's Macbeth? I need to analyze how the ending creates a satisfying outcome in the...

There are many things you can take into consideration when writing a thesis on Macbeth in relation to the play's ending. I recommend you focus on the following -- the play's ending suggests that if one relies on unchecked ambition, rejects morality, and eventually embraces evil, one is bound to be defeated sooner or later.


This argument can be supported if we take a look at what happens to Macbeth, our tragic hero. His unchecked...

There are many things you can take into consideration when writing a thesis on Macbeth in relation to the play's ending. I recommend you focus on the following -- the play's ending suggests that if one relies on unchecked ambition, rejects morality, and eventually embraces evil, one is bound to be defeated sooner or later.


This argument can be supported if we take a look at what happens to Macbeth, our tragic hero. His unchecked ambition, which is his tragic flaw, overpowers him and leaves him unable to think rationally. Macbeth's plan to become the untouchable king of Scotland not only involves murdering anyone who stands in his way, but it also entails ignoring the most fundamental human values one needs to live by. Macbeth's intention is to thrive in the world where one gains power by resorting to the power of evil. He sells his soul to the forces of evil and becomes a cold-blooded murderer, incapable of remorse and redemption:



I have almost forgot the taste of fears...



By stating that he no longer fears anything, we see how deeply Macbeth has descended into irrationality and wickedness. Furthermore, he foreshadows his own demise by ignoring the most basic values that need to be kept in mind at all times.


The ending suggests that those who harbor evil ambitions and who commit evil deeds must be defeated, and we should feel no sympathy for them.

Wednesday, 2 November 2016

What is vitiligo? |


Causes and Symptoms

There is no known cause for vitiligo, but it may be an autoimmune disease or a disorder in which one or more genes contribute to its development. The white patches that develop on the skin are caused when melanocytes in the skin, cells that produce melanin, are destroyed. The color of the skin is determined by the amount of melanin that the body produces. Contributing factors to the development of vitiligo may include emotional distress, sunburn, or preexisting autoimmune diseases such as hyperthyroidism, but they are not considered causative.



Vitiligo usually develops before the age of forty and affects all races and sexes equally, with up to 2 percent of the population affected. The disorder may run in families; those with a family history of vitiligo or premature graying of the hair are at an increased risk.


The primary symptom of vitiligo is the loss of pigment in the skin leading to the development of widespread, irregularly shaped white patches on the body. The white patches are more evident in dark-skinned individuals and are much less noticeable in fair-skinned individuals. The patches may develop rapidly. Cycles of depigmentation followed by stable periods may occur throughout the lifetime of the affected individual. The areas commonly affected are the areas exposed to the sun, body folds such as the armpit and groin area, body openings, the area around moles, and areas of previous injury to the skin. Premature graying of the hair, including eyelashes, eyebrows, and beards, may also be symptomatic of vitiligo. The course of the disease is difficult to predict, and the spread of the white patches may spontaneously stop, but in most cases, the entire surface of the body is ultimately affected.




Treatment and Therapy

If an individual notices areas of skin that are losing color, early graying of hair, or loss of eye color, then a doctor should be consulted. A dermatologist, a doctor who specializes in disease of the skin, is usually the physician of choice to treat vitiligo, but other specialists may be involved. There is no cure for vitiligo. The goal of treatment is to restore color to the skin and stop future depigmentation, if possible.


The diagnosis of vitiligo begins with a thorough patient examination and history, including any family history of vitiligo or autoimmune disease, unusual sun exposure, sunburn or other skin condition in the period of time just prior to onset of the white patches, and recent stress or physical illness. Blood may be drawn to determine if there are thyroid or other blood-related dysfunctions. A referral to an ophthalmologist (a doctor who specializes in the eye) for a comprehensive eye examination for inflammation may be indicated.


Treatment depends on the site and extent of the discolored areas. Therapeutic cosmetics may be used to camouflage white patches and are readily available in most department stores. The use of sunscreen is important to prevent normal skin from becoming increasingly darker than the vitiligo patches, especially in fair-skinned individuals. Sunless tanning preparations may also be used to tint areas of skin.


Topical corticosteroids may be useful in the early stages of the disease. Vitamin D derivatives may be used in conjunction with corticosteroids or with ultraviolet light. Other topical ointments may be used in small areas of vitiligo, although studies are small and side effects including an increased risk of lymphoma and skin cancer are possible. Topical psoralen with ultraviolet A (PUVA therapy), or photochemotherapy, may be effective, although severe sunburn, blistering, and other complications may occur. If more than 20 percent of the body is involved, oral PUVA may be used. Regardless of medical treatment, frequent visits to the doctor’s office and careful monitoring are needed.


Narrowband ultraviolet B (UVB) therapy is a newer approach to treating vitiligo. No medicine is needed prior to application of the ultraviolet light. More research is needed, although small clinical trials have shown promise. Depigmentation therapy using monobenzyl ether of hydroquinone twice a day lightens all areas of the skin to match the areas of vitiligo in individuals with depigmentation that affects more than half the body. Autologous skin grafts and tattooing are options that may restore pigmentation or provide color to affected areas.




Perspective and Prospects

Support for the individual experiencing vitiligo is important, as the altered appearance caused by visible white patches may cause emotional distress. The extent of treatment may be determined by the psychological impact of the disease on the individual. Younger people and dark-skinned individuals may find the discoloration more disruptive in their daily lives and seek more aggressive therapies. Support groups are also available in many areas or online through organizations related to vitiligo therapy.


Research is being done to grow melanocytes in the laboratory from the patient’s own skin that can be transplanted into the areas of depigmentation. Studies are also being conducted with other medicines, and piperine found in black pepper has been found to be effective at repigmentation of skin in mice. While there are no significant clinical trials, alternative medicines have been tried in individuals with slow-spreading vitiligo. Patients should talk to their doctors before trying any over-the-counter treatments.




Bibliography:


American Academy of Dermatology. “Vitiligo.”



Halder, Rebat M., and Jonathan Chappell. “Vitiligo Update.” Seminars in Cutaneous Medicine and Surgery 28, no. 2 (June, 2009): 86–92.



Isenstein, Arin, Dean Morrell, and Craig Burkhart. “Vitiligo: Treatment Approach in Children.” Pediatric Annals 38, no. 6 (June, 2009): 339–44.



National Library of Medicine and National Institutes of Health. “Vitiligo.”



National Vitiligo Foundation.



Rosenblum, Laurie B. "Vitiligo." Health Library, September 12, 2012.



Taïeb, Alan, and Mauro Picardo. “Clinical Practice: Vitiligo.” New England Journal of Medicine 360, no. 2 (January 8, 2009): 160–69.



"Vitiligo." Mayo Clinic, April 21, 2011.



"Vitiligo." MedlinePlus, July 11, 2012.

What does the future of genocide look like?

It is hard to imagine genocide at any level, really.  No one could have imagined the atrocities of the Holocaust before WWII, just like no one could imagine the disaster that befell the Armenians in 1915.  The Hutu and Tutsi Civil War in Rawanda in 1995 and the "ethnic cleansing" in Kosovo are the two latest incidents of genocide.  Today, with social media, I think that it would be easier to identify groups for genocide,...

It is hard to imagine genocide at any level, really.  No one could have imagined the atrocities of the Holocaust before WWII, just like no one could imagine the disaster that befell the Armenians in 1915.  The Hutu and Tutsi Civil War in Rawanda in 1995 and the "ethnic cleansing" in Kosovo are the two latest incidents of genocide.  Today, with social media, I think that it would be easier to identify groups for genocide, and a leader with that purpose in mind could have one on a massive scale.  That said, the same social media that points out groups for execution would also serve as a watchdog against genocide.  There were no cameras rolling when the Ottoman Empire marched Armenians into concentration camps.  The first reactions to the Holocaust were shock and denial.  Today, with smartphones and social media, the world is hyper-sensitive against genocide and public outcry would force the United Nations to at least examine a potential genocide. While sadly I think that humanity is still capable of being barbaric enough to commit genocide, I think that social media makes it harder to commit one, at least in secret.  

Tuesday, 1 November 2016

What is stretching? |




Stretching, as it relates to physical fitness, is the process of positioning the limbs of the body in ways that will lengthen the muscles and surrounding soft tissue. Stretching builds muscle elasticity and tone, as well as creates better flexibility. Stretching also increases a person's range of motion, improves circulation, relieves muscle soreness, and reduces overall fatigue. The two basic types of stretching are
static stretching
and dynamic stretching. Proper technique is an important component of stretching. Incorrect stretching can lead to injury.






Understanding Stretching

When the body is stretching, several things are taking place deep in the muscles and soft tissue. A muscle contains thousands of tiny stringlike cells called muscle fibers. Muscle fibers are situated close together within a muscle and are usually very long. Muscle fibers are composed of thousands of even smaller threads called myofibrils, which make muscles able to lengthen, relax, and contract. Within the myofibrils are millions of minuscule bands called sarcomeres, which are made up of overlapping strands of protein-laden myofilaments. Stretching a muscle lengthens and narrows the muscle fibers and their smaller components. When a muscle is lengthened during a stretch, the connective tissue and sheath of the muscle tendons elongate. As the body gets used to stretching, the surrounding ligaments, tendons, connective tissue, skin, and scar tissue begin to adapt to the movement. Continual stretching over long periods of time leads to many benefits.




The Benefits of Stretching

Stretching improves a person's overall athletic ability. Stretching the muscles leads to greater flexibility, and flexibility allows for greater range of motion. The activity improves range of motion by reducing muscle tension in the stretched part of the body. Improved range of movement allows the limbs to move farther apart without the muscles or tendons becoming damaged. Consistent stretching after athletic activity reduces an athlete's risk of injury.


Apart from reducing risk of injury, stretching also eases post-exertion muscle soreness. Soreness occurs after strenuous exercise and is the result of micro tears in the muscle fibers, blood pooling in the legs, and waste accumulation, such as lactic acid buildup. Lengthening the muscle fibers during a stretch increases blood circulation and helps eliminate waste products. Stretching after a workout also reduces bodily fatigue, which can diminish future physical and mental performance. Fatigue creates greater muscle tension and forces the body to work harder during physical activity. Greater flexibility relieves muscle pressure and the body requires less effort from the working muscles as a result.


Regular stretching also corrects posture and strengthens physical coordination. Better circulation also leads to increased energy. A person can learn many things about the body by performing frequent stretches, which can lead to greater relaxation and stress relief.




Types of Stretches

Stretching falls into two basic categories: static stretching and dynamic stretching. Static stretches are done without other types of movement. A static stretch involves a person getting into a stretch and remaining there for a given amount of time. The position of the stretch is meant to place gradual tension on the muscle as it is stretched. Static stretching is recommended for beginners and for people who are not very active. Other types of static stretches include passive stretching, active stretching, and isometric stretching. Passive stretching involves another person or apparatus moving a limb to create a stretch. Active stretching is the use of muscle strength to generate a stretch in a specific area. Raising the leg high in the air and keeping it there without external assistance is an example of an active stretch. Isometric stretches are passive stretches that lengthen muscles for long amounts of time with great intensity.


Dynamic stretches involve stretching and movement. While stretching a specific part of the body, a person also swings or bounces the body part to extend its range of motion. The force of the bouncing or swinging creates greater flexibility in the limb. Dynamic stretches can also work to strengthen muscles. Resistance stretching and loaded stretching contract and elongate a muscle simultaneously. The muscle is stretched through its full range of motion while being contracted, leading to increased strength. Due to the demands dynamic stretching places on the musculoskeletal system, this type of stretching is most beneficial to people who are regularly active.




Stretching Safely

Stretching can do serious damage to the body if performed incorrectly. Individuals should listen to their bodies when stretching. Any movement that causes pain or discomfort should be avoided. A person should never stretch an injured area of the body until the area has recovered or the individual has been cleared by a physician to perform the activity. Warming up is also very important prior to stretching. Stretching cold muscles can lead to muscle damage. Body heat loosens muscles, making them more pliable for stretching. Warm-ups also increase blood flow and release more oxygen into a person's system, nourishing the muscles. Comprehensive stretching of all major muscle groups in the body is an important part of physical activity. Expert opinion varies as to whether stretching before exercise is beneficial, but most agree that stretching after a workout is crucial to muscle recovery.




Bibliography


Reynolds, Gretchen. "Stretching: The Truth." Play Magazine. The New York Times Company. 31 Oct. 2008. Web. 24 Mar. 2015. http://www.nytimes.com/2008/11/02/sports/playmagazine/112pewarm.html



Roberts, Melanie, and Stephanie Kaiser. "The Different Types of Stretching." Idiot's Guides: Stretching. New York: Alpha Books, 2013. 8–10. Print.



"Stretching: Focus on Flexibility." Mayo Clinic. Mayo Foundation for Medical Education and Research. Web. 23 Mar. 2015. http://www.mayoclinic.org/healthy-living/fitness/in-depth/stretching/art-20047931



Walker, Brad. The Anatomy of Stretching. Berkeley: North Atlantic Books, 2007. 12–24. Print.

Suppose that every consumer is born and lives for three periods: youth, middle age, and old age. During youth, annual income is $40,000. However,...

The first period is almost trivial: Income is guaranteed to be $40,000, desired consumption is $40,000---so take in $40,000 and spend all $40,000.It's the second and third period where it gets interesting. We are guaranteed to make at least $80,000 (if only), and have a 50% chance of making $140,000.Furthermore, we are highly risk-averse; we want to guarantee that we will have enough to consume at least $40,000 in every period.This means...

The first period is almost trivial: Income is guaranteed to be $40,000, desired consumption is $40,000---so take in $40,000 and spend all $40,000.

It's the second and third period where it gets interesting. We are guaranteed to make at least $80,000 (if only), and have a 50% chance of making $140,000.

Furthermore, we are highly risk-averse; we want to guarantee that we will have enough to consume at least $40,000 in every period.

This means that we need to save at least $40,000 in the second period that we can carry on into the third period.

If we make $80,000, that means we spend $40,000--so we have just enough.

If we make $140,000, we could spend up to $100,000, but actually we would probably want to split it more evenly, spending $70,000 in the second period and $70,000 in the third period.

We might think we'd also want to propagate this backward, and split the overall $180,000 we made over our lifetime into $60,000 in each period; but the problem with that is that in the first period we won't know that we are going to make $140,000 in the second period. So since we are so risk-averse that we want to guarantee enough saving for retirement, we can't afford to spend any more than $40,000 in the first period, even if we had the access to credit necessary to do so. In the worst-case scenario, we'll only make $120,000 all together, so we need to spend $40,000 in each period.

Thus, the optimal strategy, if we end up making the higher income, involves spending much more in the second and third periods than in the first period---which is exactly what we tend to observe in real life.

What is a lactate dehydrogenase (LDH) test?




Cancers diagnosed: Malignancies causing effusions, germ-cell tumors, and other tumors with high cell turnover



Why performed: Serum LDH is elevated in many non-neoplastic diseases. In oncology, its concentration may be determined to estimate the stage of disease and prognosis in several cancers, such as non-Hodgkin lymphoma, myeloma, disseminated melanoma, and metastatic prostate carcinoma. The ratio of serum LDH to LDH concentration in pleural, peritoneal, or pericardial effusions can help distinguish benign from malignant processes; high LDH concentrations in effusion fluid suggest the presence of cancer. Because the five isoenzymes have characteristic relative abundances in different tissues, determination can assist in the diagnosis of several tumors.



Patient preparation: No fasting or other special preparation on the part of the patient is necessary for this simple blood test.



Steps of the procedure: After the blood sample is collected, serum is isolated by centrifugation and the activity of the enzyme is measured in either the forward direction (oxidation of lactate and NAD+ to pyruvate, NADH, and H+) or the reverse direction. In the forward reaction, the rate of appearance of NADH can be followed spectrophotometrically because it strongly absorbs ultraviolet (UV) light at 340 nM; NAD+ does not. The enzyme activity is calculated by comparing the rate of NADH appearance in the patient sample to rates obtained from standard preparations. If the cause of elevated LDH cannot be determined by other means, then the isoenzymes can be separated by electrophoresis, with LDH-1 (all H subunits) migrating fastest, followed in order by LDH-2 through LDH-5. LDH can also be visualized in tissue sections by immunohistochemistry.



After the procedure: No special aftercare is required other than monitoring the blood collection site for signs of infection until healed.



Risks: There are no risks to the patient. High false positive rates are seen in patients with other systemic illnesses.



Results: Abnormally high LDH values and abnormal isoenzyme patterns are seen in many different diseases and must be interpreted in the light of the clinical history and other laboratory results. Results for enzyme activity obtained with different methods are not interchangeable. In oncology, abrupt increases in LDH indicate an unfavorable prognosis in terminally ill patients. The LDH-1 isoenzyme is reliably elevated in germ-cell tumors (teratoma, seminoma, or ovarian dysgerminoma) and can serve as a tumor marker. In leukemia, lymphoma, and multiple myeloma, LDH-3 and LDH-4 are often elevated. Elevated LDH-5 in colorectal cancer is strongly associated with poor survival.



Girgis, Hala, et al. "Lactate Dehydrogenase A Is a Potential Prognostic Marker in Clear Cell Renal Cell Carcinoma." Molecular Cancer 13.1 (2014): 1–23. Print.


"Lactate Dehydrogenase Test." MedlinePlus. Natl. Lib. of Medicine, 24 Feb. 2014. Web. 28 Oct. 2014.


Miao, Ping, et al. "Lactate Dehydrogenase A in Cancer: A Promising Target for Diagnosis and Therapy." IUBMB Life 65.11 (2013): 904–10. Print.


Philipp, Alexander B., et al. "Circulating Cell-Free Methylated DNA and Lactate Dehydrogenase Release in Colorectal Cancer." BMC Cancer 14.1 (2014): 1–21. Print.


Sun, Xuren, et al. "Clinicopathological Significance and Prognostic Value of Lactate Dehydrogenase A Expression in Gastric Cancer Patients." PLoS ONE 9.3 (2014): 1–9. Print.

Who was the first emperor in the world?

It is believed that the world's first emperor was Sargon the Great, whose Akkadian Empire spread over the Mesopotamian area around 2250 B.C. The empire's capital was Akkad, though the city would later be known as Babylon.


The land over which Sargon ruled was massive—extending from the Mediterranean Sea in its western-most regions and as far north as the Black Sea. In total, the Akkadian Empire covered approximately 800 miles.


Because Sargon and his armies...

It is believed that the world's first emperor was Sargon the Great, whose Akkadian Empire spread over the Mesopotamian area around 2250 B.C. The empire's capital was Akkad, though the city would later be known as Babylon.


The land over which Sargon ruled was massive—extending from the Mediterranean Sea in its western-most regions and as far north as the Black Sea. In total, the Akkadian Empire covered approximately 800 miles.


Because Sargon and his armies were able to overtake Sumeria, his empire was able to expand its cultural influence. The Sumerians are credited with establishing the first written language, the first library, the first irrigation system, and the first wheel.


Sargon ruled for more than 35 years. The empire he established lasted for more than a century. 

What is the physiology of memory?


Introduction

Investigations of the biological basis of memory have proceeded simultaneously at many different levels: individual neurons and synapses, systems of neurons, whole brains, and whole behaving organisms. Isolated cells, slabs of brain tissue, live invertebrates (such as sea slugs), nonhuman vertebrates (often rats), and even awake human patients have been studied. Several strategies have been used to reveal the location of and mechanisms underlying the engram, or memory trace. In one approach, after an animal subject has learned a task very well, lesions are made in specific regions of the brain. If only memory of the task is impaired, the damaged structure is implicated in the memory process.









Trauma, stroke, disease, and even deliberate surgery may produce “natural” lesions in human patients. Resultant amnesia, or memory loss, can be correlated with the damaged structures using magnetic resonance imaging (MRI), positron emission tomography (PET), computed tomography (CT), and other scanning techniques, and with behavioral performance on standardized psychological and neuropsychological tests.


Another approach is to record changes in the nervous system that occur at the same time as a memory process. If such changes occur only when memory is formed, then they may play a role in the process. Such functional changes in the human (and animal) brain may be seen using single-cell or multicell electrophysiology, electroencephalography, and evoked-potential electrical recording techniques. Researchers have studied memory formation by looking at the chemical composition of the brain (for example, neurotransmitters and protein synthesis).


Finally, various techniques may be used to disrupt the memory formation (consolidation) process shortly before or after a subject has learned a task (that is, started to develop permanent memories). Successful disruption may point to the underlying nature of the process. For example, formation of permanent memories can be prevented by giving direct electrical stimulation to the amygdala (a specific brain area associated with emotion and motivation) or enhanced by stimulation of the reticular formation (associated with alertness and waking), suggesting different roles for these areas.



Neuropsychology, a specialty combining clinical neurology and behavioral analysis, has used both “natural” and experimental lesion techniques to explore memory processes. According to some researchers, for the purposes of neuropsychological analysis, memory should be divided into two categories: declarative and procedural. Declarative memories are facts that one can consciously recollect, while procedural memories are skills or operations that one does not have to think about consciously and that are not linked to a particular time or place. Brain damage does not usually impair procedural knowledge. Global permanent anterograde amnesia
(inability to form new permanent memories) and temporary retrograde amnesia(inability to remember past events) for declarative knowledge, however, have been correlated consistently with bilateral (left and right side) lesions of both cortical (the highest and most newly evolved) and subcortical (the lower and older) regions of the brain. Memory problems of chronic alcoholics (Wernicke-Korsakoff syndrome), demented patients (Alzheimer’s disease), and patients with some strokes and aneurysms have all been associated with damage to these areas.


Deficits in long-term memory produced by temporal cortex lesions (lesions of the lateral brain area) depend on the type of material that is presented: Left lesions interfere with verbal material, while right lesions interfere with nonverbal material. It does not matter by what sensory modality the material was presented or what modality was used to test for its retention. By contrast, lesions of the frontal cortex (the largest and most forward brain area) interfere with only certain components of memory: memory for the order of things and events, short-term memory for the location of things in space, normal resistance to distraction during learning, and the ability to learn new material without being confused by old material. Unusual and discrete types of amnesia can result from damage to other specific cortical areas, such as the parietal, posterior temporal, and occipital lobes. For example, people may be unable to remember and recognize colors, faces, the names of objects, or the location of an object in the environment.


In contrast to this whole-brain approach, neurobiological investigations have focused on short-, intermediate-, and long-term cellular memory mechanisms. The sensory memory, the shortest memory, persists for about 0.5 second and depends on the activity of reverberating circuits. These circuits are loops of interconnected neurons arranged so that stimulating one will activate each successive one, including, eventually, the first one again. The net effect of this arrangement is that the entire loop stays active—and the memory trace of the initial stimulation persists—long after the initial stimulation has ended.


Other, more enduring memories, lasting from days to years, are thought to reside in synaptic (neuron-to-neuron) connections and to result from neuronal plasticity—the creation of new synaptic connections or increased capacity or efficiency of old ones. Many mechanisms for this have been proposed. One possibility is that learning causes neurons to sprout new terminals and make new connections directly (this is termed synaptic turnover or reactive synaptogenesis). Another possibility is that learning liberates blocked connections, which can then respond to incoming signals (the Calpain-Fodrin theory). Dendritic branching may also be important. If memories are stored in synaptic connections, brains with thickly branched dendrites could store more memories than those with thinly branched dendrites. It is known, for example, that brains of healthy elderly people have more dendritic branches than brains of younger people or of adults with some types of memory disorders. Moreover, animals raised in stimulating learning environments develop more branches and a greater brain mass than do less stimulated control animals. Learning-induced changes in the shape of dendrites may also promote memory: Stubby ones transmit information more readily than long, thin ones.


Among the most important proponents of animal models in the elucidation of the physiological basis for memory has been Eric Kandel. Kandel, a professor at Columbia University in New York, was awarded the Nobel Prize in Physiology or Medicine in 2000 for his discoveries in the molecular basis for memory. Kandel has carried out much of his work studying the nervous system in the sea slug Aplysia. This organism contains relatively few nerve cells (approximately twenty thousand); its neural circuitry is simple by comparison with more evolved organisms such as human beings (containing approximately one trillion nerve cells), and thus it serves as an ideal laboratory animal in the study of memory. Behavioral changes in the animal may involve fewer than one hundred nerve cells.


Kandel tested various forms of stimuli on the organism and observed changes in the responding gill withdrawal reflex as the basis for “memory.” Since the reflex would remain for various periods of time, it represented a primitive form of memory. An amplification of the synapses connecting sensory nerve cells to motor neurons could be detected as a molecular response to stimuli and represented memory development.


If the stimulus was weak, a form of “short-term memory” would develop. In this case, the reflex lasted only a short period of time. If the stimulus was stronger, “memory” would last for weeks. At the molecular level, the basis for memory was found to be the relative levels of neurotransmitters that would be released at the synapses. Short-term memory was represented by calcium, which originated from specific ion channels, with resultant release of higher levels of neurotransmitters at the synapses. Kandel found phosphates were joined to certain channel proteins, resulting in amplification of the response.


Formation of long-term memory had an analogous mechanism utilizing phosphorylation reactions. The concentration of an enzyme, protein kinase A (PKA), also involved in phosphorylation of protein targets, was increased in neurons following higher levels of stimuli.


Activity of this enzyme was related to formation of a second molecule within the cell, cyclic adenosine monophosphate (cAMP). The result of increasing the activity of PKA and cAMP was to stimulate the cell to increase levels of proteins in the synapse, with the effect of increasing function of that synapse. Another key protein activated by cAMP was called the cAMP response element binding protein (CREB). If synthesis of new proteins was blocked using drugs, no long-term memory would result. Kandel summarized his work in the statement that all memory is “located in the synapse.”




Role of Neurotransmitters

The brain and body produce a number of substances that have the ability to modify memory in everyday life. Catecholamines, brain neurotransmitters released during emotional states, seem to facilitate memory storage, and damage to brain structures that secrete catecholamines impairs memory. Stress-produced hormones from the pituitary and adrenal glands can also alter memory formation. Even the endorphins, the body’s own morphinelike substances released during stress and involved in pain reduction, may play a modulatory role. Drugs can also influence memory function by altering nervous system activity. For example, stimulants of the central nervous system, such as amphetamine, can enhance memory formation, while depressants of the system, such as barbiturates and morphine, can interfere with it.


Kandel believes that the neurotransmitter serotonin is particularly important in regulating activity of both cAMP and PKA, thereby playing a critical role in memory. Addition of serotonin resulted in an increase in excitability of the synapses, similar to that of adding cAMP directly. Serotonin itself was found to cause an increase in cAMP levels.


The same neurotransmitter, serotonin, was found to be involved in development of both short-term and long-term memory. When a synapse is activated by serotonin, a signal results that activates cAMP and the CREB protein. Newly synthesized proteins move to the terminals of the cells. Only those synapses bound by serotonin undergo development and growth.


The different forms of memory are the result of different forms of stimuli. Short-term memory results from a synapse-specific increase in the level of neurotransmitter. Preexisting proteins are modified (phosphorylated), and synaptic connections involve a relatively small number of neurons. In contrast, long-term memory results from activation of a protein pathway and requires new protein synthesis. In addition, significantly more connections are formed with other nerve synapses.




Understanding Memory Loss

Sometimes an anecdotal observation leads to new understanding of human behavior. Schizophrenia is a severe mental illness, characterized by thought disorder and incoherent speech, that has been extremely resistant to cure and treatment. By chance, the Italian psychiatrist Ugo Cerletti, practicing in the late 1930s, observed that electric shock applied to the heads of pigs in the local slaughterhouse made the pigs easier to manage. This inspired him to apply a small voltage to the temples of one of his schizophrenic patients in the hope that improvement would result. Nothing appeared to change, so he announced his intention to increase the voltage. At this point, to Cerletti’s amazement, the patient protested loudly and with perfectly coherent speech. Encouraged by this improvement, Cerletti gave another shock. This time, unfortunately, the patient became unconscious because of a massive brain seizure and, on awakening, experienced retrograde amnesia—he was unable to recall what had happened to him in the recent and sometimes distant past.


Following this, shock treatment, or electroconvulsive therapy (ECT), became quite popular for treating schizophrenia and was tried for every sort of mental illness. It became clear over the years, however, that only patients with mood disorders (particularly certain severely depressed patients) showed consistent benefits. In suicidal patients, ECT became the life-saving treatment of choice.


Transient and even permanent memory loss associated with ECT was largely ignored by clinicians, but this amnesiac effect became the focus of experimental research with animals. In a typical experiment, rats were trained on a simple learning task. Electroconvulsive shock—electrical shock to the brain—was given either immediately or at various intervals after training. Memory for the task was then tested a day or so later. Memory was poorest if the shocks were given right after training. This observation led to the conclusion that memory does not form instantaneously but takes time to “consolidate,” a major development in memory research. Further investigation determined that, in animals, the body convulsions produced by the shocks were not themselves responsible for the retrograde amnesiac effects. Moreover, a variety of brain structures were found to produce amnesia without seizures. Indeed, stimulation of one structure (the hippocampus) disturbed long-term memory, while stimulation of another (the reticular formation) interfered with short-term memory, indicating different roles for each in the memory process.


This consolidation-disruption research strategy has become one of the major approaches used by memory investigators. Experimental work such as this has also led to improvements in ECT: Shocks are given to a smaller brain region; voltages are lower and better controlled (although seizures are still produced); muscle relaxants and sedatives are administered to avoid the hazards of convulsions; drugs are given to minimize heart-rate and blood-pressure changes; and oxygen is given to lessen memory loss.


The interplay between clinical and experimental work is also seen in research on
Alzheimer’s disease, a slowly debilitating and life-threatening disease that affects 6 percent of the adult population. Once thought to be an inevitable consequence of aging, or senility, caused by multiple “ministrokes,” it is now recognized as a distinct and specific disorder. It begins insidiously, with difficulties of concentration, followed by increasing troubles with problem solving, speaking, learning, and remembering. Patients become apathetic and disoriented; even the ability to recognize loved ones is eventually lost.


Much of psychology’s meager understanding of the basis for the memory impairment associated with this disease has come from basic research with animals. For example, studies of patients and animals with lesions in the hippocampus suggested early that this was an important site for memory formation but not for permanent storage. The hippocampus also contains mechanisms for neural plasticity. This is significant because postmortem studies of Alzheimer’s patients’ brains have revealed a selective loss of cells going to the hippocampus and cells in the neocortex, the highest brain area. Many researchers believe that both the number and shape of dendrites and the growth of synaptic endings are important for memory formation. The number of dendrites is reduced in Alzheimer’s patients. Moreover, even normal cells contain abnormal strands (neurofibrillary tangles) inside and tangled masses (neuritic plaques) outside the nerve cells.


Basic animal research has also shown that acetylcholine, an important brain neurotransmitter, plays an important modulatory role in memory. Drugs that interfere with acetylcholine function can produce some symptoms of dementia (cognitive impairment, including memory deficits) in normal human subjects. Moreover, if acetylcholine neurons are transplanted from fetal (still-developing) rat brains to the brains of old rats, the old rats regain some of their youthful ability to learn and remember. In view of these findings, it is significant that both acetylcholine and the enzyme needed to make it (choline acetyltransferase) are reduced in Alzheimer’s patients. Indeed, the greater the reduction, the worse the patient’s symptoms. This observation, coupled with results from animal studies, has encouraged clinicians to treat the memory and other cognitive problems of Alzheimer’s patients with drugs that enhance acetylcholine function—so far, however, with limited success.




Research and Memory

During the 1880s, the fact that learning, memory, and forgetting operate according to laws was revealed by Hermann Ebbinghaus’s laboratory investigations in Über das Gedächtnis (1885; Memory, 1913). Human amnesia and its implications for memory organization were chronicled by Theodule-Armand Ribot in Les Maladies de la mémoire (1881; The Diseases of Memory, 1883). Sergei Korsakoff first documented alcohol-induced amnesia (Korsakoff syndrome), and the psychologist William James, in his classic work
The Principles of Psychology
(1890), distinguished primary and secondary memory, key concepts in the search for the engram, or memory trace.


The search for a mechanism began in earnest in the 1930s with the systematic experimental animal (as opposed to purely clinical and correlational) studies in the neuropsychology laboratory of Karl Lashley. Using lesions, he attempted to localize memory in particular brain structures, but he failed. This led him to conclude that the brain is equipotential: that the memory engram is distributed throughout the brain or is at least distributed equally throughout functional subunits of the brain.



Donald O. Hebb, who proposed the notion of reverberating circuits in the 1940s, was one in a long line of researchers who, in opposition to Lashley, believed that memory would be found in specific neural circuits. The role of the middle temporal cortex, in particular, was inadvertently revealed by William Scoville in the 1950s. In an effort to eradicate epileptic seizures in his now-famous patient H. M., he performed a bilateral temporal lobe resection. This resulted in permanent anterograde amnesia. Some researchers now propose that both distributed and localized accounts of memory are valid. That is, memory, in the general sense, may be distributed widely throughout the brain, but different areas may store different components of memory. The anatomical details of this theory remain to be worked out.


Rapid advances in computer-based neural network techniques seem to hold particular promise for yielding useful models of how memory works. Data from basic research on cellular memory mechanisms are translated into mathematical formulations. These in turn are transformed into computer programs that simulate or mimic the observed function of selected subsets of neural nets. Comparing the behavior of computer-simulated nets to actual nets permits refinement of the hypothesized mechanisms. Ideas emerging from this work—for example, the notion of parallel distributed processing (PDP)—will provide work for neurobiologists for years to come.


The possible role played by memory suppressor genes is among the newest areas of research into the regulation of memory. Most prior research centered on positive control of memory formation at the molecular level—the activation of genes for formation of neural circuits and resultant memory. Kandel has also found evidence for a negative control, using the products of memory suppressor genes. Products of these genes inhibit development of the synapse and prevent memory formation.


If indeed such regulation exists, pharmacological agents targeted at suppressor proteins might serve to increase development of memory. This would provide additional targets for reversal, or at least slowing, of the memory loss associated with neurodegenerative illnesses such as Alzheimer’s disease.




Bibliography


Abel, Ted, Kelsey Martin, Dusan Bartsch, and Eric Kandel. “Memory Suppressor Genes: Inhibitory Constraints on the Storage of Long-Term Memory.” Science 279 (1998): 338–41. Print.



Allman, William F. Apprentices of Wonder: Inside the Neural Network Revolution. New York: Bantam, 1990. Print.



Carlson, Neil R. Foundations of Physiological Psychology. 7th ed. Boston: Allyn, 2008. Print.



Eichenbaum, Howard, and Neal Cohen. From Conditioning to Conscious Recollection: Memory Systems and the Brain. New York: Oxford UP, 2004. Print.



Kandel, Eric. “The Molecular Biology of Memory Storage: A Dialogue between Genes and Synapses.” Science 294.5544 (2001): 1030–38. Print.



Radvansky, Gabriel A. Human Memory. 2nd ed. Boston: Allyn, 2011. Print.



Sweatt, J. David. Mechanisms of Memory. 2nd ed. Boston: Elsevier, 2010. Print.



Taylor, Annette Kujawski, ed. Encyclopedia of Human Memory. Santa Barbara: Greenwood, 2013. Print.

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