ab after exam 1 Flashcards
Caregivers. Alz
50% taken care of at home,
Mild dementia, likelihood of 16
Moderate 40% likelihood of depression.
Treatmentt for alz
All crap.
Drug, increase acetylcholine neurotransmitter.
Vitamin e, no effect. Trials, drugs to slow if anything.
Even a vaccine, worked with mice, but causese hydrocephalus.
No dif between drug and placebo, in number entering institutional care. Mental state score, no dif. For drug. Increasing acetylcholine does improve performance, but not in alz.
Alzheimer’s prevalence,
Few cases dev, before age of 50. Slightly more common in females.
Inhibiting factor for dev alz is ones level of cognitive functions, higher cognitive function less the likely hold of alz. So education now changing.
Alzheimer’s is
Most common form of dementia.
64% of dementia
Two types early and late onset.
Late onset more common.
Fate that awaits more and more people. Aging population
Types of dementia
Vascular dementia,
HIV aids, hunting tons, substance abuse.
MANY DEMENTIAS that affect many disease states.
Caveats about the brain.
Brain all important. Well..
- Hydrocephalics
Fluid brain, reduce brain size, in past. Lorbord study,
Guy with small brain was getting a masters.
Do well with little cortical tissue. Brain so split, well one area can do everything, how about localization, maybe it’s rubbish,
Sara, inter cerebral hemmorage. Breathing swallowing. Area.
Women, medically induced coma. Cool body, no effect on brain.
Flat EEG, she had, way to see if dead.
Detailed exactly what had gone on, during surgeon conversations
Measure dementia
Mini mental states dimension.
25+ is normal. Interesting measure
Dsm V added new disorder
Mild neuro cognitive disroder.
Mild cog decline, produce decline modest impairment,
Still independant, not delirium or other mental disorder.
Highly dangerous category. Bill a lot of people. Inaccurate.
Ex. Plaques tangles, no good. Can still behave normally. Even if have seriously.
PlaQues and tangles ensue
Because of too much phosphorus,
Myth of aluminum,
Twisted fibres, also in down syn, tau protein involved in
Plaques build up of beta amyloid. Complex protein.
Rowena poem, is an example
Tells of extreme pain, of caregivers for alz
Culture related alz
Level of cog friending, predicts likely hood of developing alz.
Higher in western cultures. Control age and diet.
Lowest in Chinese,
It is not purely physical.
Alz course
Deficit onset, time, and s
On a continuum. Progression, small things to severe. 8-10 years.
Increased risk with mz, but not very heritable. 58%
early onset is quite heritable. Autosomal.
Early indication of alz
Nun study Intersting,
Original letter of intent, girl wrote, when asked to get in to nunnery.
Mild cognitive deficit,
Simpler sentences more likely to get alz. Than those who wrote simpler. Abstract vs concrete,
Conscienciousness, higher means less likely to get alz.
Tangles and cognition connection. Wow.
Autosonal alz
Early onset.
Chromosome 21 issues, about 1 in 29 cases.
Amyloid precursor gene (APE) effect buildup of amyloid, affects cholesterol transport. Leads to gobs of it in brain.
PlaQues and tangles ensue
Temporal recent memory effected first.
Hippocampus,
Mild cognitive deficits and later onset of alz.
Perhaps two distributions, normal brain and alz. Unsure.
Early cognitive deficits predicts later onset of alz.
Tau protein, more likely get alz.
Dementia what is it?
Can hide own Easter eggs.
Loss of intellectuality ability (above what is expected noraml at an age. )
Loss memory, higher cortical issue .
Aphasia, apraxia motor coordination problem, adenosia, difficulty recognizing objects.
Not delirium,
Presumed organic factor.
Alz not a disease, other things happen like
If alz once 130 all have.
Everton brain goes.
Myelination, continues into 50, decreases after 27-45% prefrontal cortex esp vulnerable.
Also cause plaques and tangles and also leads to cognitive decline,
Debate if alz neurologically dif from the norm?
Etiology not understood,
Plaques tangl part of everyone’s brain, argument for simple matter of degree. Normal curve perhaps. Age shifts curve.
Apoe, phosphorous,
Only in 50% of alz
Also show insulin igg pathway, lack of insulin in. Brain
4 the type of diabetes ?
Genetic polymorphism, calhm
Reading on sex, dev of depression
Attenuation of prefrontal, amygdala, , hippocampus, though amygdala grows in females as does nucleus axcumnens. Striat all unsure, put amen fails to Ttentuate in depressed. Shows that they’re may in fact be bio neurological markers for depression. Longitudinal study helped debunk so,e ideas. Had issues with mechanics, puberty, size, power, and some other things. But was fairly convincing. Unsure if clinically it could be used yet, needs more replications
Criterion validity
Can make, prediction, with error bars, relates to correlation
Encepilepathy what is it, what happens when frontal love is changed?
Damaged brain.
Wrestle guy noted.
Phi nease gage. Frontal lobe cahge due to impaled. Completely change personality,
Also alcohol does this! Extreme deficits. Fail to control stim limit system is creating.
50% of all violence when perpetrator is intoxicated. Also true frequently of victim. Cat mouse study.
Self eval vs actual ability
R is .29 moderate overall
Many limItiona to this meta analysis
Many moderators in domIn, specificity, time, terms and etc. between task and person. Over
Rally we are not too good at evaluating ourselves, for many reasons. Reminds me of social PSYC
Emergenesis
Identical twins tend to have same gens and enviro and traits similar and sometimes really weird,
Raised togethor vs apart.
Jim twins,
Highly correlated. Mz not much dif. Raised p et or togethor.
Remarkable stability.
Repeat ability of results.
Twin alcoholdim, .56 r
There are differential effects though.
Ex. Disinhibition, religous upbringing,
Elisions training leads to more self control less disinhibition,
Married alcoholdim less so. Loneliness.
Twin methods
Difference di = e h
Mz h
Difference, leaves h
Homogeneous enviro, iq sim. , emergents is.
Do find difference between a though, but small.
Nature nurture, distinction
Stupid.
NTure. Argues, vacuum, enviro argues exist without a body,
Have ideas, attitudes philosophies, not take into acount rela.
Thinks aren’t fixed.
Genes affect change of biochemical actions. .
One can intervene though. Cancer researche ex.
Imaging bandwagon or breakthrough. Looking at neural activation is really
Looking at blood flow or blood oxygenation, assuming it equals behaviour.
Generalize from groups to individuals.
Ex. Scz smaller thalamus, but that is only on average.
Not clear if measuring things like lying or decision making.
Neural abnormalities, activation, not a steady state. Many things influence it, not all result or are related to a disease.
Iq is an ex of a
Pariah measure
Steady state drug screenings
Urine sample, job, (but no PSYC test)
Drug users 16x more absence, likely 4x health problems, 5x other
Lack of specificity, all come down to cost. False positive, high error range, 25% some 66%
Horrible labeling results. All cuz of lack of sensitivity,
Cold decongestant, test positive for cocoa ine, or meth.
Invasion of privacy!
Glutamine in patients with scz
Glutamien and ratio to glutamate higher.
Glutamine increase with age, and choline nac for smokers.
Greater symptoms greater glutamine.
Reporting, indefinite anything type of test,
anything say so, project yourself into the answer
Projective
Interpersonal stress, stp, mdd major environment factor
Gxe stp+MAJOR stress LIFE EVENT onset factors. Interaction CONFIRMED
Interpersonal stress, CONFIRMED with s carriers, esp. L individuals
Chronic family stress.
Conclude
Genes may predispose to reaction to stress.
Methods
Psychological
Life stress Lsi
BzCkground
Meta anal, genes, amygdaloid, variations caused by stp, chronic family stress.
Few episodes mdd noted even with major life events.
Adolescence, subgroups. Limitation to generalize.
Epi genetics
Behaviours affect genes, development, expression and structure,
Trans generational epi mutations
Pollutants 4-5 unless interventions.
Methyl donor taken away, kinky tail, added back, GOES AWAY
Constantly bullied mice. 309 genes, increased expression.
Aversion social contact. Can be reversed.
Female rats, lick pups, change stress response, increase viability, affecting particular genes. Shows nature nurture combo.
Nutrition lifestyle intervention. Change artery size. Ornis her al,
Significant change in bio process, with change in diet, reduce stress, mild exercise!
Genes which otherwise activated lead to tumors.
Genetics becomes something readily manipulate, changeable. That’s what epi genetics is all about
Human psychogenetics method
Carrier type, chromosome map.
Chromosome 21, Down syndrome, (Mongolian idiocy 1866)
Trisomy 21, 90% show it
Cells don’t devide,
1 in 1000
Abnormal EEG, poor muscle tone, many symptoms, iq higher first five years in life. Respond rhythm writing simple demands.
Mother’s age, where if age x=28 but if 35 1 in 350, 40 1=100
40% of kids with Down syndrome, not babies,
There are in uterine diaGnostic tests, many abortiion, more in euro than us 92 62
Melissa, in university, productive useful tutor Down syndrome.
, normal curve for severity. So what you do conscience decides.
Remanded means
Made medical errors.
8th leading cause of death. 5 747 crashing each day every day equiv.
Huntington disease
Rapid brain deterioration in end of life. Large ventricles.
Many symptoms,
Ex. Carol car, two sons, killed with gun.
Guilty of assisted suicide,
Electrophysiology, EEG as diagnostic tool
Brain RousL of teens,
LOw arousal, and low ans, more criminal history.
Charles whitman
Limbic system examples of issues.
Killed, mother wife others, wounded. Tower
Scout master and marine.
Tumor size of waLnut against amygdala. Effect on behaviour.
Excessive writing. Leads to violent emotional behaviour
Other ex. 1972 brain structure.
Temporal lobe epilepsy. (Highly reactive personality patterns) Self stim, electrodes placed on brain, sex behaviour changed.
Limbic area especially septum. Sex with prostitute.
Orgasm was a seizure.
Pihl thinks, area involved in gender determination and sexual roles. Can be changed, not legally.
3rd guy ex.
Depression deep brain stimulation; sink electrode into area brain called subgenual cingulate electrical stim, reduces activity, ahh that makes more sense. Affecting more than one area by doing this, it’s a fibre track.
The Limbic system
.
Pharmacology
Chlorpromazine
Drug:
Antipsychotic drug began as a antihistamine. Went through the history, starts with one guy in 1952 builds. By 1960 50 million.
More than sedative effect, changes thought and reduce social problems,
Issue of drug, lewd to deinstitutionalization.
Effects:
decrease positive symptoms like hallucinations.
Extrapyramidical symptoms, lack of dopamine, produced.
—->
Amphetamine psychosis
Look paranoid scz, but take amphetamines —> psychoses.
So giving it, leads to people get worse! Shows muck around with dopamine,
Blocking d2 receptor blocking in these drugs, created a lot of problems. Others now block d4 receptors.
Scz ppl have more d2 (3x) and d4 (6x)
Attenuated psychosis syndrome
Label when young, person does not believe them. Hallucinations ex, show likely to have.
Know not real. Intervene early didn’t to appropriate resources for treatment and prevention,
Not in dsm 5 because of too many false positives