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00:02 | This is lecture 23 of neuroscience. you will not be responsible for the |
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00:08 | coverage in this lecture for your But you will be responsible for all |
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00:13 | the materials that led up to this 2, 22. And in lecture |
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00:20 | dr Ramachandran describes several syndromes. And I asked you to actively take notes |
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00:26 | track information on those three syndromes, parts of the brain that are |
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00:32 | Perhaps something about the prevalence sea of syndromes and certain individuals increased rates of |
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00:41 | among artists. And also this article example, shows that there is increased |
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00:48 | of synesthesia and autistic individuals with adults autism three times greater than in control |
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01:02 | presence of ministerial In each one of conditions. The three conditions top graph |
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01:10 | , phantom lemons anesthesia dr Ramachandran described brain circuits involved, how the problem |
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01:17 | arise with its traumatic brain injury or trimming. Also discussed simple ways, |
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01:27 | techniques for diagnosing um the organic skin was mentioned and simple ways for treating |
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01:37 | . A mirror box was a device he built to treat one of these |
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01:43 | . So please review this. This be on influence now. Everything else |
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01:48 | we're covering today will not be on . But if you recall, I |
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01:54 | you this slide at the very beginning and I said I'm gonna show the |
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02:01 | over again throughout the course and tore down to the course and now I |
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02:06 | you to take a pause for a look at what you're seeing on the |
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02:13 | and think about work. understanding how from an understanding the knowledge you have |
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02:24 | and just mm hmm Since january, March april just three months time. |
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02:37 | we only have a few lectures We can understand a lot about individual |
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02:45 | , the structure and function of different of neurons, dendrites and that X |
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02:50 | so much axons. So long You understand a lot about synaptic |
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02:58 | There are chemical interactions, electrical gap junctions understand the varieties of self |
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03:08 | are present varieties of neurochemicals and neurotransmitters these cells use to communicate with each |
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03:18 | . We also understand that there are circuits that are built and that these |
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03:25 | become parts of the system such as visual system, the auditory system. |
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03:32 | a lot of sense, sewage system so on. And we've learned that |
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03:39 | circle anatomy and the representations of the world such as a homunculus, it's |
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03:45 | matter of sensory cortex or retinal topic and the primary visual cortex and the |
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03:53 | columns. And there are still a columns in the primary visual cortex. |
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03:59 | the tone, a topic map in temporal lobe of the auditor cortex. |
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04:03 | have learned that there are structures in areas and that there are maps, |
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04:12 | maps that are created by the circuit systems and the structures that are involved |
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04:19 | processing sensory information and producing a motor to these brain waves and brain maps |
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04:35 | are created even by smelling something when is a map of smell in the |
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04:43 | , that brain activity is going to , going to travel and spread into |
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04:51 | adjacent interconnected level. And this brain is going to produce oscillations activity up |
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05:03 | and downstate upstate and downstate. There networks that are more engaged at certain |
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05:10 | in producing these oscillate story modes or . And they're different facilitation modes, |
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05:19 | and frequencies and communication between individual south circuits, some larger parts of the |
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05:28 | . And so these brain maps that created brain waves that travel through the |
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05:37 | through the interconnected brain network. They produced because they're synchronized activity in the |
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05:47 | . And that synchronized activity would call rhythms because there's brain rhythms come at |
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05:56 | frequencies and produce certain activity of certain . The way we know that the |
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06:05 | produces these rhythms is we can measure . And unlike the imaging techniques that |
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06:12 | discussed, clinical imaging techniques such as scans and FmRI, those imaging techniques |
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06:21 | up metabolic activity, oxygen, blood , glucose. When we talked about |
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06:31 | neuroscience, we talked about voltage sensitive images that was in the last lecture |
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06:38 | voted sensitive damaging was a direct correlation electrical activity of essentially measuring electrical activity |
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06:47 | measuring changes in the dies as they with voltage crossing through plasma membrane in |
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06:57 | clinical setting. You also want to what is happening with electrical activity inside |
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07:01 | brain. The only way that you record a non invasively is using |
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07:06 | G. Which stands for electrons to . Gram. And when electrodes and |
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07:13 | are placed it's usually an array like cap that contains many electrodes. And |
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07:18 | electrodes are picking up activity underneath that electrodes in that particular part of the |
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07:24 | . Some frontal lobe, temporal occipital lobe, parietal lobe. And |
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07:32 | E. G. S. Are over time when electrical activity is picked |
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07:37 | through these recording electrodes on the the AGI cap there are dominant |
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07:45 | There are certain rhythms. There are oscillations that dominated certain frequency to |
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07:54 | G. Patterns are characterized by amplitude frequencies of synchronized network alpha rhythm |
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08:04 | delta zeta gamma. All of these rhythms. They come in different |
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08:09 | So alpha is 8 to 10 And this alpha rhythm this 8-10 alpha |
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08:18 | represents a relaxed state and relaxed Beta Rhythm which is a different |
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08:27 | 13 - 30. Mhm. This beta rhythm 13 to thirties intense mental |
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08:36 | or excitation, excited state. Delta which is slow waves. It represents |
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08:47 | drowsy state fade activity shown here represents state pathology during wakefulness but also it's |
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08:57 | important in learning and memory. Gam of 40 hurt. Also it's very |
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09:05 | for learning and memory within the So the brain and different brain areas |
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09:14 | dominated by rhythms that fall within certain of dominant frequency. And each one |
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09:26 | these rhythms, son oscillations of the frequency represents different behavior and mental state |
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09:38 | versus relaxation. So of course these come about because of the complex interactions |
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09:46 | synchronization of excited or in an inventory as well as the contributions from the |
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09:54 | authority substances such as the means that studied in this class. The other |
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10:03 | shown here below show a grid of that are placed on the actual surface |
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10:11 | the brain. So this is an technique. This is essentially intra operative |
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10:22 | . Why would you make a big in the scala and expose this large |
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10:28 | of the brain? Because you're probably neurosurgery and likely there is a resection |
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10:35 | removal of a small part of the . So after you have identified with |
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10:41 | . G. Recordings the bad part the brain, whatever it's the bad |
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10:46 | , it's causing seizures. For it's called the focus of seizures and |
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10:52 | know where seizures are beginning. Now have identified that they're beginning and let's |
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10:57 | temporal lobe, you're gonna want to another grid of electrodes. It's a |
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11:02 | more sensitive directly on the brain tissue pick up electrical activity, intra cortical |
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11:09 | activity and that will help you refine precise location of the bad area of |
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11:16 | brain, like the focus that's generating , it will allow you to minimize |
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11:23 | amount of the brain you may need surgically remove and it will allow neurosurgeons |
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11:30 | identify parts of the brain that are necessarily responsible for important functions. These |
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11:38 | of recordings intra operatively in the operating . A quite often performed by an |
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11:49 | in the presence of Mds. In presence of neurosurgeons. Ph D. |
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11:54 | are the ones that helped place these of electrodes and interpret the data that |
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12:02 | coming out of the grid of the together with neurosurgeon honing in on the |
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12:07 | part of the brain that needs to surgically removed. So you wouldn't have |
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12:13 | for any diagnostic, noninvasive. This a very harsh, very severe surgery |
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12:21 | the brain. Um And you'd want minimize the damage, pardon me, |
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12:32 | of the brain is one of my books but dr euribor jockey and he |
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12:39 | about different rhythms and the system of rhythms and this what he describes the |
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12:45 | relationship between space and time. So keep talking about spatial temporal. It |
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12:49 | this concept of spatial temporal specificity of resolution, of temporal resolution. So |
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12:58 | that's happening is happening with space and and the rhythms and these brain waves |
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13:03 | spatial temporal representations. Space and time packaged into the concept of spacetime |
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13:11 | Y. Z. In time. the 4th I mentioned, oscillations can |
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13:17 | conceived off and displayed in terms of space or time, The face plane |
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13:23 | assigning. Soit harmonic oscillator is a . We're gonna walk the perimeter of |
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13:28 | circle, once, twice a billion . And yet we always get back |
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13:32 | our starting point, what has been what will be and what has been |
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13:36 | is what will be done. And nothing new under the sun. This |
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13:40 | the circle of life. And now its perimeter is measured as dislocation. |
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13:45 | we walk the circle of life and find ourselves in the same position? |
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13:50 | alternative to the period is city view the universe. And the circle is |
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13:54 | display periodicity is a series of sine . Now we can walk along the |
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14:01 | and peaks, peaks and troughs off line without ever returning to the same |
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14:08 | point. We find ourselves in a position, for example, at the |
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14:13 | here and the trough here, whatever similar position is, for example, |
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14:18 | of the electrical amplitude, chemical function the brain at the time. So |
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14:22 | a stimulus state of being, but not the same in time. Time |
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14:29 | is a continuum with a cycle as broom as it's symmetric. The cycle |
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14:35 | identical in shape and the start and points of the cycles form an infinite |
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14:40 | into the seemingly endless universe. This line illustrates the basis of our time |
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14:50 | . So this is this is how sort of a meander. And so |
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14:54 | is almost like things you can think , you do every day, you |
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14:58 | up, you find yourself in the bad most of the time you go |
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15:05 | the same routine, brushing teeth showering whatever the routine is working out |
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15:16 | Find yourself in the classroom at 8:30 on Zoom on Tuesday and thursday, |
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15:23 | are you in the same location and now? Time has changed. Time |
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15:28 | passed. And this period is The internal area of this city that |
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15:35 | talking about, the circadian rhythm was up and doing similar things day in |
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15:41 | day out day after day for every day for every other week. And |
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15:48 | course now you can see that there periodicity in the brain activity as |
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15:55 | That's a much, much much faster . So why are there so many |
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16:03 | regimes and how can these many different regimes be creative? And is there |
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16:09 | system, the mathematical system to these river? So first of all we |
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16:15 | that different cell subtypes are very important what we talked about from the very |
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16:21 | is the different cell subtypes produce different in the action potential firing. They |
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16:29 | different frequencies of action potentials. They different patterns of action potential backfiring some |
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16:36 | them continuously firing. Some of them starting, some of them are burst |
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16:40 | , some of them are very fast , some of them are slow |
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16:45 | So out of all of this cellular that diversity came comes the ability to |
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16:52 | multiple dominant rhythmic regimes, Of course have Uh huh neuro modulators. So |
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17:05 | you think about excitation and inhibition this neural transmission. And then when you |
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17:11 | about your model a torrey substance as , does that mean that epinephrine will |
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17:17 | a certain rhythm in the brain Like up kind of rhythm? Because it's |
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17:21 | stimulant for the brain. Does that that serotonin will produce a different rhythm |
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17:28 | the brain? And that is true that is true for different parts of |
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17:32 | of the brain? External entrainment, environment. We are surrounded by |
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17:40 | You will hear a frequency of 100 and you'll hear a frequency of two |
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17:48 | very fast. And so your brain going to recreate that rhythm your hair |
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17:55 | remember. It's going to turn the molecule oscillations and the oscillations of the |
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18:02 | into an electrical activity. So if a slow rhythm that you're listening to |
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18:08 | it's gonna be slow rhythm in the faster than it's going to be faster |
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18:12 | the right visual stimulate, they're going come in at different frequencies different wavelengths |
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18:19 | this case. And so it's external . Whatever repetition you're doing motor |
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18:30 | wrong style or just driving it three , notes your rhythms in the brain |
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18:37 | going to adjust the motor output, going to adjust. Why do we |
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18:43 | so many hostility torrey regimes. Why we have these very slow regimes that |
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18:48 | can see on this table here, have some of the rhythms that I |
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18:53 | it very slow. Like super charismatic will dictate the diet and over by |
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18:58 | changes in the transcription factors in the asthmatic nucleus telling the rest of the |
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19:05 | , Wake up this morning time or to sleep it's night time. Then |
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19:11 | are slow rhythms that are on the of seconds. Then there are rhythms |
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19:16 | are one or two oscillations. View like delta a second, four Hz |
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19:23 | it's four oscillations that happened per second . 4 to 10 data. 10 |
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19:30 | 30 and say look wait a This is a big split that 10 |
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19:33 | 30. Yes, there is no clear defined. Well I am the |
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19:36 | now but you can see that there dominant rhythms that get picked up. |
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19:41 | you have some very fast rhythms, and neuronal networks can oscillate at speeds |
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19:50 | up to 600 hertz per Wow 600 per second Neurons. That means have |
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20:01 | produce 600 action potentials per second. have to synchronize and the whole network |
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20:10 | to produce this very fast and ultrafast . So from really, really slow |
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20:21 | ultra fast. You need to perform tasks. You need to be precise |
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20:29 | fast and sometimes you need to be and this is going to be reflected |
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20:34 | dictated by some of these facilitate the in the brain, you would also |
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20:42 | that you need complex levels of computation the brain. And if the brain |
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20:47 | only capable of producing two or 3 rhythms well then you can say that |
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20:55 | computation of the brain that the rhythm computation of the brain. That the |
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21:03 | is not only the sensory map that maps of activity as I told you |
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21:10 | represent thinking thought processing and they can represent bad neuro degenerative activity such as |
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21:20 | pill, epic seizure. So if have these distinct facilitate the regimes that |
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21:30 | that your brain is capable of processing complex information and be dominated by multiple |
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21:41 | dynamic regimes which essentially means different behavioral and behavioral output or lack thereof. |
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21:56 | you're sake and kenton and his post try to see is there a mathematical |
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22:03 | and reason? This is the frequency hertz. This is natural log of |
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22:10 | . The land hurts here and when align these dominant rhythms within the frequencies |
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22:18 | seem to have been separated by one in future. On alan bird scale |
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22:24 | . So they were trying to see a mathematical explanation. Can we derive |
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22:30 | ? And this is one of the that take him up on. So |
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22:35 | again this is an E. Cap on the person. Each one |
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22:38 | these selectors will be picking up activity the skull. Different behavioral states will |
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22:46 | dominated by either 8 to 10 alpha ways that are much faster that will |
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22:54 | for example sleepy or eyes closed, open or engaged electrical activity of the |
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23:01 | cortex can be monitored by multiple extras on the scalp. This is on |
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23:08 | scalp. So when you do the . G. Recordings, a lot |
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23:12 | that electrical activity will get filtered through scalp. But it's non invasive. |
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23:18 | is facial resolution can be achieved by grid electorates. So this is what |
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23:24 | intra operative placement of the subdural grid craniotomy craniotomy is opening the window in |
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23:31 | cranium, removing part of the skull the estimated electric positions of reporting sites |
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23:37 | on the patient's structural M. I. Residents imaging scam acquired after |
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23:43 | were implanted. Okay so you implant your wire M. R. |
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23:48 | Image now you have the three dimensional of the brain. You identify this |
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23:54 | of the brain as a problematic area the brain. Now you're going to |
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23:57 | a recording with overlaid M. I. Image, you can identify |
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24:01 | really small part, a small part the brain that is a neurosurgeon. |
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24:07 | you have to do removal, that's you're going to do hippocampus. |
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24:14 | Hippocampus is a part of the brain that's involved in memory formation. Memory |
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24:21 | memories are not stored in hippocampus but an area of the brain that's very |
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24:27 | involved and many different kinds of And one thing that when we talk |
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24:37 | these brain rhythms and they represent drowsiness wakeful state intense mental activity. That's |
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24:44 | thing however, in many cases and in epilepsy, abnormal brain rhythms indicates |
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24:54 | indicate abnormal electrical activity that is neurodegenerative as a consequence of this abnormal electrical |
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25:05 | that you would see here, for , a person that has an |
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25:08 | G. Cap and an A. person is having an aura, the |
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25:13 | proceeds an epileptic seizure that he or knows that something is about to happen |
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25:20 | b. Each one of these traces is the difference of electrical potential reporting |
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25:29 | the electorates on this cap. And can see that in B some of |
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25:34 | electrodes like especially 14 through 16 become active. That means that E. |
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25:41 | . Starts picking up synchronized activity and there is abnormal synchronized activity in |
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25:48 | the person starts having an epileptic What happens a few seconds later or |
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25:56 | seconds later, while you can see only one half of the brain was |
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26:03 | during the state of seizure and be the time see period comes around and |
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26:11 | person was experiencing a full blown generalized . That means that the seizure has |
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26:20 | over and generalized over the entire And you can see that each one |
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26:26 | these 16 electrodes is now showing this synchronized rhythm. So to diagnose epilepsy |
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26:35 | most of, you know, epilepsy the person who's having seizures, a |
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26:40 | who's having convulsions. But in fact are many different types of epilepsy |
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26:45 | And one of the definitive the diagnosis epilepsy ease is by using E. |
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26:53 | . And recording these rhythms and studying analyzing the rhythms because they can indicate |
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27:02 | part of the brain Where normal activity . It starts somewhere here between the |
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27:08 | 15 and 16 or 14 and It can tell you something about the |
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27:15 | of this rhythm and the pattern of rhythm will help diagnose a particular type |
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27:21 | apple of seeds that the person is . So abnormal rhythms and abnormal E |
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27:28 | . G. Recordings is the diagnosis epileptic form, activity of seizure activity |
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27:35 | the brain. These arrows born to your called the hippocampus that I already |
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27:42 | at the very beginning of the slide hippocampus is very susceptible to damage by |
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27:51 | so it does not necessarily start seizures the brain. The most common epilepsy |
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27:57 | humans is temporal lobe epilepsy. Hippocampus involved in this temporal lobe signaling intricately |
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28:06 | the circuitry with the limbic system which also buried close within the temporal |
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28:14 | Do these interactions are very important. it's not the side of generating seizures |
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28:19 | it's a side of susceptibility to seizures susceptibility to neuro degeneration and hippocampus can |
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28:28 | degenerate and neurons can die in hippocampus epilepsy and seizures but also the other |
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28:36 | conditions such as schizophrenia for example can to their degeneration samples. Also. |
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28:45 | these rhythms as I mentioned come about you have this incredible diversity of specific |
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28:52 | within the circuits. Chemical communication within circuits and electrical communication. Electrical |
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29:00 | Journalists will be very important for the to synchronize large networks of south to |
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29:07 | you recall him the campus. It's three layer structure. But when we |
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29:12 | about neocortex and these E. Recordings are taken from the surface of |
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29:17 | skull. So when you're recording something the surface of the skull you're not |
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29:22 | recording from these deep brain tissues such the campus. Rather your recording from |
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29:26 | superficial layers of the new york And in fact you're picking up activity |
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29:32 | the optical dendrites. If you're a that The cell layer five cells will |
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29:38 | these large parameter cells going into their done dries layers 23 parameter cells with |
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29:45 | capital done dries. These are most the inputs coming in from june equivalent |
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29:51 | for example the lateral ventricular nucleus and primary visual cortex. But the take |
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29:57 | message here is that E. We'll be picking up activity from the |
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30:03 | from the surface of the skull and activity is a representation of what is |
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30:08 | at the optical dendrites. The electromagnetic of the optical done rides in the |
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30:16 | and um that activity gets filtered so don't have a direct contact between the |
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30:25 | and the neuronal tissue. The electrode sitting on top of the skin just |
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30:31 | on top of the skull. Which then you have three men in jeez |
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30:37 | then you have the brain tissue and inside there you have the optical criminal |
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30:42 | right? So in order for the . G. Signal to be picked |
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30:47 | you actually have to have large numbers cells synchronized together in order to produce |
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30:54 | rhythms. One cell activity will not picked up by an E. |
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30:59 | Electorate. So the E. Electorate represents hundreds or thousands of cells |
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31:05 | one electrode and electrical activity that has filtered through the tissue and energies and |
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31:11 | skull before it gets picked up by E. G. Electrodes. And |
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31:16 | signal is going to be very small weak. So you don't need lot |
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31:20 | amplification and longer to detect to filter the E. G. Signals. |
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31:32 | While we're recording Eg recordings we also to know individual contributions of the |
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31:38 | And then the modern experimental neuroscience you these electors that are super thin. |
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31:44 | these are individual cells that have been and you can see that you have |
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31:48 | super thin electorates and on top of one of the electorate's this is |
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31:58 | Okay so they have each recording sites they are very thin. So experimentally |
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32:05 | can use techniques that you can implant lectures deepened their into the tissue to |
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32:11 | picking up activity from the tissue. because you have multiple recording sites and |
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32:16 | can implant these te treze these four 1234 together each having eight recording |
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32:23 | Four times eight is 32. And of the location the location of those |
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32:34 | and the time delay takes for the to travel. You can use the |
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32:40 | and the triangulation and the calculations and and time to start picking up what |
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32:47 | of cells individual neurons are contributing to . And so you need to reserve |
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32:53 | again to experimental neuroscience techniques and implants electrodes that you would do in order |
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33:00 | understand what cells are responsible for contributing action potential patterns in order to create |
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33:07 | overall network. Credit some of the of epilepsy is that in epilepsy you |
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33:17 | these synchronized and this is the cellular of epilepsy that we're looking at. |
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33:23 | looking at this intracellular recording and extra recording. This is not an |
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33:28 | G. Recording. It's an extra recording in the tissue. But typically |
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33:33 | you would see you would see these bursts of activity. These deep polarization |
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33:40 | numbers of action for cultural a normal doesn't produce these directional spikes. But |
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33:47 | brain and epileptic tissues will produce these rhythmic repetitive activity that would be detected |
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33:54 | the normal networks. So this has referred to as paroxysmal de polarizing shift |
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34:01 | deep polarization of about 200 milliseconds with burst or certain frequency number of action |
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34:11 | writing on top of that deep So this repetitive synchronized activity is formed |
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34:17 | intrinsic neuronal number and properties and synoptic repetitive synchronized activity. It's formed by |
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34:28 | neuronal number of properties because different neurons different rhythms and firing because they have |
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34:35 | neuronal number of properties. Length, time, constant ionic channels that they |
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34:43 | and also synaptic signaling which means that are certain rules of connectivity and feedback |
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34:50 | and and so on. Mhm. you have in epilepsy the south and |
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34:58 | cellular mechanisms that we're talking this courses typically have enhanced excitability or hyper |
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35:08 | That hyper excitability is because there's typically excitation of AMP A. And |
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35:15 | D. A. And glutamate So if you have a network that |
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35:23 | excited and the balance has shifted towards and there isn't enough inhibition then you |
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35:30 | want to boost the inhibitory now. most of the treatments for epilepsy and |
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35:38 | would be boosting gaba signaling Gabba Gabba . And also opening up potassium channels |
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35:45 | that will promote hyper polarization. So excitability or hyper excitability promotes abnormal synchrony |
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35:57 | glutamate and gabba. And other channels as calcium dependent potassium channels promote hyper |
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36:07 | and reduction in that synchronous. What the role of leah. So these |
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36:16 | come about. And then we talked networks and these neuronal networks are surrounded |
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36:22 | glia by different types of glee. We already know that ostracized for example |
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36:29 | the amount of glutamate and cycle glutamate these circles. So is there glial |
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36:36 | in neurological disorders? Says the glial for formation of seizures and narcolepsy? |
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36:42 | answer's yes. Remember the glia take ions and they siphon off and then |
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36:51 | and redistribute specially local increases in We re update and metabolize and release |
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37:02 | . They produce slow calcium waves and are influencing licensing production which is an |
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37:12 | . D. A receptor code factor activation of an M. D. |
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37:15 | receptor Real South also control inflammation in brain. So apart from the active |
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37:24 | of neural transmission and neurotransmitter cycling, are cells are also involved in slower |
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37:33 | such as control of inflammation, an response in the brain. This is |
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37:47 | picture of Children that having untreatable Form epilepsy in more than 30% of the |
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37:59 | that have this form of epilepsy called Syndrome or severe my chronic epilepsy of |
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38:07 | . These actual pictures of the Children the driving syndrome foundation and this is |
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38:13 | disease that I studied for a decade this case the cause of driveway syndrome |
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38:22 | childhood up or Pepsi is a mutation a mutation genetic mutation involved educated sodium |
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38:32 | and this is a developmental form of epilepsy is typically most prevalent in early |
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38:42 | and then they also then again become into late adulthood an aging years. |
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38:51 | for Children and for the families that dried a syndrome, this is called |
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38:56 | catastrophic form of epilepsy. These Children 30% of them were not responsive to |
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39:04 | standard pharmaceutical treatments for epilepsy, either excitation or manipulating ion channels or increasing |
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39:17 | . Benzodiazepines, about which you already boosting gaba. It doesn't work for |
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39:27 | of these Children. That means that receive cocktails or pharmaceutical drugs, they're |
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39:32 | intoxicated they are high and drunk. Benzodiazepines and other drugs experience a lot |
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39:43 | side effects as dizziness, somnolence. and unfortunately the pharmaceutical drugs or cocktails |
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39:54 | 30-plus% of these Children don't work. , I was very interested in my |
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40:01 | career here at u of age to the cellular mechanisms behind seizures, Annapolis |
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40:07 | also try to find novel therapeutic treatments at least study and research what is |
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40:15 | there that is novel that could be these Children. It's catastrophic because it's |
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40:22 | for families. These Children can have to hundreds of seizures per day, |
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40:30 | seizures a day, 400 seizures a . These Children are very susceptible to |
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40:39 | changes. And so when their body goes up because of the infection or |
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40:46 | , they're more likely to experience seizures it's hot outside, they're more likely |
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40:51 | experience seizures too. Over 20% of Children and some of the Children that |
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40:59 | pictured here have passed Over 20% of syndrome. Children die in their sleep |
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41:10 | sudden unexpected death in epilepsy. So can imagine this is catastrophic for families |
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41:18 | live with Children that have uncontrollable It starts impeding their progress because debilitating |
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41:27 | Children can cause mental developmental reputation and of all, after all of the |
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41:38 | , um, puzzle solving and trying control seizures for these Children. You |
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41:43 | find them dad and and bad. spoken to my no parents that have |
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41:54 | from this unbelievable tragedy truly catastrophic. lot of times when you have a |
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42:03 | that has a severe neurological disorder, a child that may not be able |
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42:08 | express themselves fully. It becomes an burden on families. Families have a |
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42:16 | time staying together to to maintain to maintain the challenges that this, |
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42:24 | disease and many other treatable forms of present. So it's difficulty, genetic |
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42:32 | , It's a lot of seizures, form of epilepsy reputation and wealth educated |
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42:39 | channel. Um, and uh DR became very publicized and it was actually |
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42:52 | I started studying it. Not but As I was studying driving syndrome |
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42:58 | the lab and I was doing the on the cellular level in 2013 and |
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43:07 | . some interesting news started coming out this country. So there's this little |
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43:11 | , charlotte Figi and her parents were parents and charlotte had driving syndrome and |
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43:19 | seizures were not being controlled by available drugs. So her parents who were |
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43:27 | cannabis which is marijuana or hemp, all cannabis plants and their parents were |
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43:33 | it. And our military parents, moved to colorado but cannabis was legal |
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43:38 | started treating this little girl with help the treating physician Edward Maher with an |
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43:46 | from cannabis plant and that extract and contain two phyto economic roids can either |
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43:56 | all and delta nine tetrahydrocannabinol CBD and . These are the two dominant phyto |
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44:07 | that are produced by cannibals plants. talked about endocrine ah minerals that are |
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44:12 | with our bodies and interact with cannabinoid . CB one CB. Two. |
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44:17 | are phyto economic bonds that are produced cannabis plants. They also interact with |
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44:22 | endocannabinoid system. They also interact with €1. Chemical systems in the brain |
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44:30 | chemical systems in the body. So it. Biggie was the case of |
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44:39 | From nearly 50 convulsive seizures per day now, two or 3 in the |
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44:45 | convulsions per month. So Marijuana and were placed on Schedule one by |
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44:59 | A. And F. D. . Food and Drug Administration and the |
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45:04 | enforcement agency D. A. That the law Schedule 1 to Schedule one |
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45:10 | in 1970s. For thousands of Medical Cannabis, marijuana, medical marijuana |
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45:19 | used for treatment of many different films the 1930s. The regulators and the |
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45:26 | interests of chemical lumber industry, big in the United States, they decided |
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45:31 | no, marijuana's too it needs to eradicated because it's too much competition. |
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45:39 | too many things that can be produced him in the industrial world and textiles |
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45:45 | papers and plastics. And so the that are running the mills, paper |
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45:52 | and lumber and chemical industry, they want to jump around. And in |
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45:57 | 1930s, if you recall this country alcohol prohibition. So it was illegal |
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46:04 | drink beer goes to jail for drinking in the late 1920s, early |
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46:11 | But when alcohol became legal in the and the regulators said, Okay, |
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46:15 | need to make another enemy. And enemy became cannabis or marijuana. And |
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46:20 | campaign of reefer madness was started where was told that if you smoke |
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46:27 | you're gonna have interracial sex. It told that you will become lewd and |
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46:36 | will go into psychosis from consuming marijuana wild crazy orgies. Which was all |
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46:43 | up propaganda by media special interest and at the time, but it still |
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46:51 | very lasting consequences on the mentality and stigma everybody is special in the older |
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46:58 | , not everybody with a lot of people still carry around themselves with |
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47:02 | but that is very rapidly changing. what happened with charlotte figi, is |
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47:07 | the only case? No, it's of years, thousands of medical |
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47:12 | it's not an adding that and thousands parents that came in front of the |
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47:18 | . So despite the fact that marijuana in schedule wanna is the most dangerous |
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47:24 | the same as heroin that has absolutely medicinal use. So that is highly |
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47:30 | according to the federal government. you have medical cannabis programs all over |
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47:36 | country. And the way it started in the 70s, just when marijuana |
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47:43 | being placed on schedule one by the agencies, the hippies in California on |
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47:50 | West Coast and the draft Dodgers in seventies that ran into british Columbia in |
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48:00 | . They started growing cannabis receive bliss since amelia which came from Mexico, |
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48:08 | up into California. And people started into genetics and people started getting into |
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48:16 | and AIDS. Problem emerged in the on the West Coast and a lot |
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48:22 | people that developed HIV and autoimmune disease . Aids, we're wasting away. |
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48:33 | so were the people that were having cancers and we're undergoing chemotherapy and radiation |
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48:39 | treatments. They were undergoing what is the wasting syndrome where the person loses |
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48:48 | and they cannot eat anything and they're nauseous losses. The hippies that were |
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48:55 | these different marijuana cannabis strains of starting make extracts and concoct things that were |
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49:01 | not new. It's been around for of years, but maybe with more |
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49:05 | a genetic implant care and selection, noticed, hey, that if people |
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49:11 | these extracts and in fact if people cannabis, if people smoke marijuana, |
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49:16 | alleviates the nozzle and it makes them and it makes them eat. And |
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49:23 | all of these people that were suffering wasting syndrome that had AIDS or were |
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49:30 | from cancer saw a little bit of and how relaxation and ability to |
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49:40 | and so in 19 the eighties than United States government came out with a |
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49:46 | delta nine THC to treat nausea for . Guess where they got that |
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49:54 | Okay. The pharmaceutical agencies in the government which has the patent on cannabis |
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50:01 | neuro protective and under inflammatory but also cannabis. And schedule one. So |
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50:06 | did they get that idea? Making drug for nausea treatment of of of |
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50:15 | and wasting syndrome. Let me guess We come forward some 2030 years and |
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50:23 | notice that these extracts, it's not good for wasting syndrome. The modern |
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50:29 | growers realizes specific strains which means that selected for specific plants that have a |
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50:36 | chemical output that are known as different that come from. See genetically and |
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50:42 | they've grown very carefully. They can similar chemical output. And so Forward |
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50:48 | years from 19 seventies into early two 1996. Medical cannabis, medical marijuana |
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50:58 | legal in California early two thousand's is Washington D. C. Early two |
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51:05 | is legal in Colorado State. There's brewing, there's something going on these |
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51:11 | started moving to colorado. Other families watching their kids take these cocktails of |
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51:18 | medications with pictures of their Children approaching regulators and the lawmakers saying, |
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51:25 | give us an alternative form of treatment these untreatable diseases such as epilepsy. |
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51:32 | Children, we cannot wait for them have another 500 seizures, we cannot |
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51:39 | for them to die in their The pharmaceutical drugs are not working, |
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51:43 | system is not ideal. We need else. And people start advocating. |
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51:49 | of these Children with epilepsy, especially Dravet syndrome, start advocating for legalization |
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51:55 | medical cannabis federally. And that legalization about in many, many states, |
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52:01 | 38 states have uh some sort of marijuana, medical cannabis program, charlotte |
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52:11 | becomes like a poster child for CBD THC treatment. There's a strain that |
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52:17 | named after her called charlotte's web. unfortunately charlotte figi passed last year um |
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52:27 | seven unexpected death in Epilepsy I So, these parents that push the |
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52:34 | and help a lot of other people helped a lot of states have their |
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52:39 | cabinets programs really helped not only people epilepsy but people with other conditions because |
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52:47 | states, including state of texas as medical candidate of medical marijuana program That |
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52:54 | approved for over 120 different conditions or . So you may have seen the |
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53:00 | medical correspondent Sanjay Gupta. He did whole story on charlotte Figi and the |
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53:06 | said good Canada strain that contained these of THC and CBD. And so |
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53:14 | done a week two weeks, 3 four weeks 5. And that's the |
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53:18 | evolution the changes in the laws, changes in the stigma that was associated |
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53:26 | marijuana and changes in the regulatory environments the country. So some things to |
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53:36 | when we talk about medical cannabis and , What is cannabis? What are |
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53:41 | economics? What is cannabis is a where our endocrine ominous molecules that are |
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53:48 | endogenous li by our own bodies What a fight, broke anonymous fight |
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53:54 | anything that comes from a plant. plant based phenomenal. What is |
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54:00 | What is hell? Campus pd federally marijuana is legal state by state |
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54:08 | Home and marijuana. Why is hemp ? Why is marijuana illegal? Why |
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54:15 | it becoming increasingly more legal? That last year 23 us states now it's |
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54:20 | us states. Why is Canada's client the medical marijuana. All of these |
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54:26 | great questions to consider as we're learning some of the things new phenomenon especially |
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54:34 | your book can be released from past neurons and act on pasta. Matic |
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54:38 | pre synaptic terminals. So it's retrograde , retrograde messengers. Okay. And |
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54:45 | regulated voltage gated calcium channel. They're packaged investable. They're small and number |
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54:54 | . They bind selectively to CB one CB two receptors. And we discussed |
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55:00 | . And then we can have a to A. G. And and |
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55:05 | these are And O. Canal. . All right. Spider oak |
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55:14 | And there is a whole discovery of Fido Kananga. So Delta nine THC |
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55:22 | from the plant cannot die. All from the plant. Uh huh. |
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55:31 | there are other molecules also that are coming from the plant. There are |
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55:39 | synthetic or that if you ingest off nine th C. There's a metabolism |
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55:45 | these phyto cannabinoids into 11 0. . Delta nine THC and delta nine |
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55:50 | . 11 Oleic acid to the two phenomenon is that we see in Canada's |
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55:58 | is Delta nine THC and cannabidiol. eight THC Delta eight THC does not |
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56:12 | from that plan. Delta nine This is carbon eight and 9. |
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56:21 | , Delta nine has the double bond of the ninth. Carbon Delta eight |
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56:28 | is semi synthetic process. Mm This is incorrect. It says some |
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56:34 | the plant produced Delta 10 has a here on the town. Carbon double |
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56:41 | has been moved around. These are are synthetic moments inside. So this |
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56:50 | your brain. And under cannabinoids. neurotransmitters were discovered long before their |
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56:57 | But modern techniques have we tended to the tradition and the story of the |
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57:03 | were discovered before their transmitters. And we get in now into discussing the |
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57:11 | and some of the cellular mechanisms and of the endocannabinoid system. And what |
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57:18 | in general from cannabis and the fact the United States Government has a pattern |
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57:24 | Canada's and there's a lot of information cannabis. And so what I'm going |
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57:30 | do is there's a lot of updates happened in this area, Including from |
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57:37 | states. When I prepared this lecture this course a year ago 2 38 |
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57:44 | having medical Canada. And so I'm continue on this theme on thursday. |
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57:53 | . And there is a reason why segue from epilepsy into talking about medical |
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57:59 | because in the state of texas, first approved condition for treatment by medical |
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58:07 | was intractable upwards because the first pharmaceutical that is plant Canada's plan dr drag |
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58:17 | non synthetic drug that is approved by is cannabidiol to treat Drive a |
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58:25 | the severe mark Watney, couple ups infancy and other severe developmental epilepsy. |
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58:32 | a reason why we segregated but I to update these slides because there's a |
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58:38 | of more and interesting information that came so that we can shape a really |
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58:43 | understanding of what is medical pharmaceutical phenomenal . What is medical state regulated cannabis |
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58:54 | Canada's products and how to navigate this and what might the future opportunities in |
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59:02 | emergent market and emergent industry. So will end here today. So please |
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59:08 | that you are taking a quiz That will cover chapters 19 through 22 |
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59:13 | not cover today's |
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