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    • THE IMD RULE & ADMIN. ENFORCEMENT OF DISABILITY CIVIL RIGHTS LAWS
    • Medicaid & Supportive Housing & Housing-Related Services
    • CMS' FAILURE TO COVER HOUSING FOR LTC & THE IMD RULE: WHAT THEY HAVE IN COMMON IS DISCRIMINATION
    • National Take
  • Research & Translational Medicine
    • Immunology & Mental Health >
      • Alcoholism & the Immune System & Mental Health
      • Brain Injury, the Immune System & Mental Health
      • Celiac Disease & Sensitivities, the Immune System & Mental Illness
      • Mental Illness & The Immune System
      • Racial Discrimination & the Immune System & Mental Health
      • Trauma & the Immune System & Mental Health
      • ***Physical Health Issues, the Immune System & Mental Health Index
    • University of Chicago: Institute of Translational Medicine
  • Hot Topics
    • What We Want --- SAMHSA Grant Opportunities Due Jan. 22, 2019
    • Anti-Social Personality Disorder >
      • DECONSTRUCTING ANTISOCIAL PERSONALITY DISORDER AND PSYCHOPATHY: A GUIDELINES-BASED APPROACH TO PREJUDICIAL PSYCHIATRIC LABELS [Hofstra Law Review 2013]
      • Personality Disorders -- Unscientific & Vague -- Must Be Reformed
    • Executive Functioning & "Prison Brain" >
      • Job Accommodation Network on Executive Functioning Deficits
    • Medicaid & Medicare Network Adequacy >
      • OIG: STATE STANDARDS FOR ACCESS TO CARE IN MEDICAID MANAGED CARE (Sept. 2014)
      • OIG: ACCESS TO CARE: PROVIDER AVAILABILITY IN MEDICAID MANAGED CARE (Dec. 2014)
      • GAO 15-710: MEDICARE ADVANTAGE: Actions Needed to Enhance CMS Oversight of Provider Network Adequacy (Aug. 2015)
      • CMS: Promoting Access in Medicaid and CHIP Managed Care: A Toolkit for Ensuring Provider Network Adequacy and Service Availability (April 2017)
    • Medicaid Mental Health & Substance Use Disorder Parity >
      • CMS Parity Compliance Toolkit Applying Mental Health and Substance Use Disorder Parity Requirements to Medicaid and Children’s Health Insurance Programs [Jan. 17, 2017]
      • Frequently Asked Questions: Mental Health and Substance Use Disorder Parity Final Rule for Medicaid and CHIP [CMS October 11, 2017]
    • Olmstead Disability Rights >
      • Statement of the Department of Justice on Enforcement of the Integration Mandate of Title II of the Americans with Disabilities Act and Olmstead v. L.C. (2011)
      • Comprehensive Olmstead Planning
      • the Logical Long Term Consequences of our failure to provide Intensive Community MH Treatment
      • Olmstead Nation ---State Pages: How Far to Comply with Olmstead?
  • Take A Walk Around Orchid's Resource Block
  • Colorado Abuse & Neglect Scandals Involving People with Disabilities
  • Mental Health By The Numbers
  • New Science Is Amazing AND It Has HUGE Moral Implications for Our Society: NOW
  • Olmstead & Homelessness
  • Double V
  • " 'Defund the Police" Means 'Invest in the Resources Our Communities Need' " or Don't Cost Shift to the Police
  • VAGUE OLMSTEAD PLANS, EXPENSIVE LITIGATION
  • Updating & Reforming our Understanding & Treatment of "Anti-Social Personality Disorder" Blog
  • Reform of " Anti-Social Personality Disorder" in Criminal Justice
  • CO HB22-1278
  • New Understandings Matter
  • Mental Health, Ethics & Law
  • CO Olmstead Disability Homeless Law & Policy Project
  • Inflammation, the Immune System, Neuro-Developmental Disorders, Psychiatric Disorders, Substance Use Issues & Chronic Disease
  • Microglia and the Brain's Immune System
  • Substance Issues & the Immune System



Translational Medicine Friday

Some thoughts on New Evidence for an Autoimmune Cause of Schizophrenia

6/26/2022

 
Neuroscience News
June 6, 2022

Summary:   Researchers have identified an autoantibody that appears to cause schizophrenia in some individuals. The findings add to the growing body of evidence that schizophrenia could have an autoimmune component.


Source:   Tokyo Medical and Dental University


 Conjecture
  • Shared Genes, Developmental Inflammation and Epigenetics are 3 biological mechanisms driving our MENTAL HEALTH CRISIS.
  • Psychiatric Disorders do appear to have various "autoimmune components" --- but even there they may look different ---
    • Pediatric Autoimmune Encephalitis leading to PSYCHIATRIC ISSUES may not be the same as some other "autoimmune component."
    • Further, there appears to be an "autoimmune component" to PARKINSON'S that we previously didn't know about.
 
Picture
Tokyo Medical and Dental University
  • So we are called upon to BOTH:
    • SUBSTANTIALLY MODIFY our BIG PICTURE and our CATEGORIES as well as
    • DRILL DOWN DEEPER and ultimately provide INDIVIDUALIZED, PRECISION MEDICINE
 
  • There are INACCURATE CATEGORIES throughout medicine BUT the INACCURATE CATEGORIES within MENTAL HEALTH ----
    • ARGUABLY are doing the MOST HARM.
 If we don't have that KNOCK-OUT "TREATMENT" --- BUT EVIDENCE is piling up that our CURRENT CATEGORIES and IDEAS ARE WRONG --The BURDEN is SHIFTING to US to REMEDY and MITIGATE the DAMAGE at the same time we are developing BETTER TREATMENTS.

The "DOUBLE EMPATHY PROBLEM" and Neuro-Diversity

6/22/2022

 
Picture
Autism and the double empathy problem: Implications for development and mental health (2021)
Abstract

This article proposes a link between autistic people being misperceived by the neurotypical majority and their being at risk of poor mental health and well-being.

We present a transactional account of development in which the misperceptions (and consequent behaviour) of the neurotypical majority influences the perceptions and behaviour of autistic people such that they become increasingly separate and indeed isolated from mainstream society.

This jeopardizes their mental health and prevents autistic people from developing to full potential.

The situation is not only problematical for the development of autistic people but is also to the detriment of wider society, in so far as autistic people are effectively prevented from contributing fully.

This account assumes that some (not necessarily all) autistic people yearn to be included, to be productive and to be useful.

It thus directly opposes accounts that view autism as an extreme case of diminished social motivation.
Conjecture
  • Neuro-Developmental Differences tend not to be DISTINCT but BLURRED
  • So I would say this isn't just an issue for Autism -- but also ADHD, Dyslexia, etc.
  • Further, I don't necessarily see the only challenge between "NEURO-TYPICALS" and "NEURO-DIVERGENT" folks.
  • I also see big challenges between and among "NEURO-DIVERGENT" folks who are processing the world in sometimes radically different ways.
    • and because they are so IDIOSYNCRATIC -- they are often quite ISOLATED.
    • Now I don't think it is always "DRAMATICALLY DIFFERENT" --- but it is different enough to cause problems ---
      • Especially if no one is expecting it on either side.
  • I also think this relates to the Anna Karenina Priniciple ----
    • "Healthy" people tend to be alike in their microbiomes
    • WHEREAS it may be that Neuro-Divergent people are all over the place.
  • I think the more we learn about ourselves and the microbiome --- the more questions it raises about what it is to be HUMAN ---
    • are we in fact as Professor Graham Rook with King's College London asserts "ECOSYSTEMS."
  • Further, if I can just rely on my microbiome to include me in the group ----
    • I'm using a lot less energy to understand "UNCONSCIOUS BEHAVIOR"
  • From my perspective, many NEURO-DIVERGENT people are NOT the SOCIAL IDIOTS they are made out as --- but in fact can be much more aware of UNDERLYING FALSE ASSUMPTIONS that the majority hasn't made CONSCIOUS because they didn't need to.

Shifting the Balance Between Inflammatory and Anti-Inflammatory Molecules, the Vagus Nerve & Psychiatric disorders

6/20/2022

 
Picture
Can Stimulating the Vagus Nerve Improve Mental Health?
https://www.nytimes.com › Well › Mind

June 2, 2022 -- Evidence indicates that stimulating the vagus nerve can help people with epilepsy, diabetes, treatment-resistant depression and post-traumatic ...

Picture
March 10, 2022 / Brain & Spine

5 Ways To Stimulate Your Vagus Nerve

The longest cranial nerve in your body plays a role in your health


1.  Meditation
2.  Exercise
3.  Massage
4.  Music
5.  Cold Water Immersion

Picture
Vagus nerve stimulation: Benefits, risks, and more - Medical ...
https://www.medicalnewstoday.com › articles › vagus-n...

Oct 14, 2021 -- VNS can improve an individual's physical health and can offer benefits for several conditions. The treatment has a healing effect on a person's ...

"The brain is a servant of the body" - Antonio Damasio about feelings as the origin of brain

Feelings and Homeostasis
Picture
Karolinska Institutet in Sweden
Nerve Stimulation Promotes Resolution of Inflammation

Neuroscience News:  May 31, 2022

Summary:
  Electrical stimulation of the vagus nerve promotes healing in those with acute inflammation by shifting the balance between inflammatory and anti-inflammatory molecules.



Source:   Karolinska Institute 
Picture
This is important:

Vagus Nerve as Modulator of the Brain–Gut Axis in Psychiatric and Inflammatory Disorders...

https://www.frontiersin.org › fpsyt.2018.00044 › full

by S Breit · 2018 · Cited by 455 -- Since, the vagal tone is correlated with capacity to regulate stress responses and can be influenced by breathing, its increase through ...

Picture

Therapeutic Targets for Psychiatric Disorders & Neuro-Developmental Disorders Induced by Maternal Immune Activation:MICROGLIA

6/19/2022

 
I think it is fitting that "MICROGLIA" may be therapeutic targets for Neuro-Developmental Disorders and Psychiatric Disorders.  
  • It speaks to how we have had to DRILL DOWN FURTHER to get to ADEQUATE ANSWERS.
 
  • It speaks volumes as to how FAR BEHIND Clinician and Societal Understandings are from where the RESEARCH is.
 
  • We wouldn't put up with this if this were COVID.
 
  • If we WAKE UP to the MULTI-GENERATIONAL Issues and Epigenetic Amplifiers of MATERNAL IMMUNE ACTIVATION ----
    • maybe we will BUILD ADEQUATE SYSTEMS of Translational Research and Medicine that are INTEGRATED across:
      • Physical Health Care
      • Mental Health Care, and
      • Substance Use Care
Picture
Microglial GPR56 is the molecular target of maternal immune activation-induced parvalbumin-positive interneuron deficits (May 2022)
Abstract

Prenatal infection during pregnancy increases the risk for developing neuropsychiatric disorders such as schizophrenia. This is linked to an inflammatory microglial phenotype in the offspring induced by maternal immune activation (MIA).

Microglia are crucial for brain development and maintenance of neuronal niches, however, whether and how their activation is involved in the regulation of neurodevelopment remains unclear.

Here, we used a MIA rodent model in which polyinosinic: polycytidylic acid (poly (I:C)) was injected into pregnant mice. We found fewer parvalbumin positive (PV+) cells and impaired GABAergic transmission in the dentate gyrus (DG), accompanied by schizophrenia-like behavior in the adult offspring. Minocycline, a potent inhibitor of microglia activation, successfully prevented the above-mentioned deficits in the offspring.

Furthermore, by using microglia-specific arginase 1 (Arg1) ablation as well as overexpression in DG, we identified a critical role of Arg1 in microglia activation to protect against poly (I:C) imparted neuropathology and altered behavior in offspring.

Taken together, our results highlight that Arg1-mediated alternative activation of microglia are potential therapeutic targets for psychiatric disorders induced by MIA.
Picture
Neuroendocrine and immune pathways from pre- and perinatal stress to substance abuse - ScienceDirect
https://www.sciencedirect.com › science › article › pii

by SR Horn · 2018 · Cited by 7 — The neuroendocrine and immune systems are key mechanisms implicated in the transmission of addiction risk. We review animal and human

Picture
Modulating microglia activation prevents maternal immune activation induced schizophrenia-relevant behavior phenotypes via arginase 1 in the dentate gyrus (2020)
Abstract

Prenatal infection during pregnancy increases the risk for developing neuropsychiatric disorders such as schizophrenia. This is linked to an inflammatory microglial phenotype in the offspring induced by maternal immune activation (MIA).

Microglia are crucial for brain development and maintenance of neuronal niches, however, whether and how their activation is involved in the regulation of neurodevelopment remains unclear.

Here, we used a MIA rodent model in which polyinosinic: polycytidylic acid (poly (I:C)) was injected into pregnant mice. We found fewer parvalbumin positive (PV+) cells and impaired GABAergic transmission in the dentate gyrus (DG), accompanied by schizophrenia-like behavior in the adult offspring. Minocycline, a potent inhibitor of microglia activation, successfully prevented the above-mentioned deficits in the offspring.

Furthermore, by using microglia-specific arginase 1 (Arg1) ablation as well as overexpression in DG, we identified a critical role of Arg1 in microglia activation to protect against poly (I:C) imparted neuropathology and altered behavior in offspring.

Taken together, our results highlight that Arg1-mediated alternative activation of microglia are potential therapeutic targets for psychiatric disorders induced by MIA.
Picture
Maternal immune activation generates anxiety in offspring
https://www.nature.com › ... › review articles

by LA Quagliato · 2021 · Cited by 5 — Abstract. Maternal immune activation (MIA) during pregnancy is recognized as an etiological risk factor for various psychiatric disorders, such

Picture
Effects of Maternal Immune Activation upon Amphetamine ...
https://search.proquest.com › openview

by BI Chobrutskiy · 2016 — Activation of the maternal innate immune response during pregnancy increases risk of schizophrenia, an illness with elevated rates of drug addiction.

Picture
Maternal Autoimmune Disease and ADHD Risk in Children
https://www.psychiatrictimes.com › view › maternal-aut...

Apr 13, 2021 — Maternal autoimmune disease is associated with increased risk of ADHD in offspring, adding evidence that adverse maternal immune function during ...

    Translational Medicine Friday

    We're riffing off NPR's Science Friday to create Translational Medicine Friday.

    We'll be collecting Research Article recommendations for Clinicians with regard to Cognitive Disability.

    ​There is much in the RESEARCH JOURNALS and we'll just be SKIMMING THE SURFACE.

    The POINT is to INCREASE FUNDING for TRANSLATIONAL RESEARCH at the Federal Level for the National Institutes of Health, the Centers for Disease Control, the Nation's Research & Teaching Hospitals and possible collaborations with Medicare and Medicaid providers.

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  • Home
    • About Orchid >
      • Why Orchid?
      • ORCHID'S SYSTEMIC FOCUS & "ROOT CAUSE" ANALYSIS APPROACH TO PROBLEM SOLVING WITH A COMMITMENT TO CREATIVITY & INNOVATION
      • Disclaimers, Limitations and An Invitation
      • Orchid Board
      • Orchid Book Club
      • Conjecture, Science & Translational Research & Medicine
      • Orchid Themes & Symbols
      • The Tipping Point
      • Orchid's Website Advertising Policy
      • Statement for Potential Website Contributors
      • Contact
  • Blogs
    • Val's Blog
    • Val's Blog 2
    • ​TRANSLATIONAL/ ​TRANSITIONAL JUSTICE MONDAY
    • NEURO-DIVERSITY Wednesday
    • Olmstead Law & Order Thursday
    • Translational Medicine Friday
    • Translational Love, Relationships & Neuro-Diversity Saturday
  • Orchid's A-Z Index
    • Crisis Services in CO, the US & Around the World
    • Assertive Community Treatment & Flexible ACT Index
    • Housing & Homelessness Index
    • Criminal Justice
    • Innovation Index
    • For More: See the Main Orchid Index Page
  • US Federal
    • THE IMD RULE & ADMIN. ENFORCEMENT OF DISABILITY CIVIL RIGHTS LAWS
    • Medicaid & Supportive Housing & Housing-Related Services
    • CMS' FAILURE TO COVER HOUSING FOR LTC & THE IMD RULE: WHAT THEY HAVE IN COMMON IS DISCRIMINATION
    • National Take
  • Research & Translational Medicine
    • Immunology & Mental Health >
      • Alcoholism & the Immune System & Mental Health
      • Brain Injury, the Immune System & Mental Health
      • Celiac Disease & Sensitivities, the Immune System & Mental Illness
      • Mental Illness & The Immune System
      • Racial Discrimination & the Immune System & Mental Health
      • Trauma & the Immune System & Mental Health
      • ***Physical Health Issues, the Immune System & Mental Health Index
    • University of Chicago: Institute of Translational Medicine
  • Hot Topics
    • What We Want --- SAMHSA Grant Opportunities Due Jan. 22, 2019
    • Anti-Social Personality Disorder >
      • DECONSTRUCTING ANTISOCIAL PERSONALITY DISORDER AND PSYCHOPATHY: A GUIDELINES-BASED APPROACH TO PREJUDICIAL PSYCHIATRIC LABELS [Hofstra Law Review 2013]
      • Personality Disorders -- Unscientific & Vague -- Must Be Reformed
    • Executive Functioning & "Prison Brain" >
      • Job Accommodation Network on Executive Functioning Deficits
    • Medicaid & Medicare Network Adequacy >
      • OIG: STATE STANDARDS FOR ACCESS TO CARE IN MEDICAID MANAGED CARE (Sept. 2014)
      • OIG: ACCESS TO CARE: PROVIDER AVAILABILITY IN MEDICAID MANAGED CARE (Dec. 2014)
      • GAO 15-710: MEDICARE ADVANTAGE: Actions Needed to Enhance CMS Oversight of Provider Network Adequacy (Aug. 2015)
      • CMS: Promoting Access in Medicaid and CHIP Managed Care: A Toolkit for Ensuring Provider Network Adequacy and Service Availability (April 2017)
    • Medicaid Mental Health & Substance Use Disorder Parity >
      • CMS Parity Compliance Toolkit Applying Mental Health and Substance Use Disorder Parity Requirements to Medicaid and Children’s Health Insurance Programs [Jan. 17, 2017]
      • Frequently Asked Questions: Mental Health and Substance Use Disorder Parity Final Rule for Medicaid and CHIP [CMS October 11, 2017]
    • Olmstead Disability Rights >
      • Statement of the Department of Justice on Enforcement of the Integration Mandate of Title II of the Americans with Disabilities Act and Olmstead v. L.C. (2011)
      • Comprehensive Olmstead Planning
      • the Logical Long Term Consequences of our failure to provide Intensive Community MH Treatment
      • Olmstead Nation ---State Pages: How Far to Comply with Olmstead?
  • Take A Walk Around Orchid's Resource Block
  • Colorado Abuse & Neglect Scandals Involving People with Disabilities
  • Mental Health By The Numbers
  • New Science Is Amazing AND It Has HUGE Moral Implications for Our Society: NOW
  • Olmstead & Homelessness
  • Double V
  • " 'Defund the Police" Means 'Invest in the Resources Our Communities Need' " or Don't Cost Shift to the Police
  • VAGUE OLMSTEAD PLANS, EXPENSIVE LITIGATION
  • Updating & Reforming our Understanding & Treatment of "Anti-Social Personality Disorder" Blog
  • Reform of " Anti-Social Personality Disorder" in Criminal Justice
  • CO HB22-1278
  • New Understandings Matter
  • Mental Health, Ethics & Law
  • CO Olmstead Disability Homeless Law & Policy Project
  • Inflammation, the Immune System, Neuro-Developmental Disorders, Psychiatric Disorders, Substance Use Issues & Chronic Disease
  • Microglia and the Brain's Immune System
  • Substance Issues & the Immune System