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00:00 | This morning is progress. This is lecture one. And I want you |
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00:08 | look at this image here and think what you understand about this image and |
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00:14 | thoughts you may conjure up as you're at this image. Will you understand |
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00:21 | you look at this image? I the slide halfway through the course toward |
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00:30 | end of this course and I'll ask the same question Now that you have |
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00:34 | the material for six weeks or eight weeks, 10 weeks. What |
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00:39 | you think about what comes to mind you're looking at the signage? And |
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00:46 | I say right now, it's just really cool looking image. In my |
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00:51 | , I don't have chad gpt so I don't know how cool it |
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00:56 | . Casper dot io but this is image that illustrates several very important scales |
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01:05 | components of the brain. First of , there's this microscopic scale uh cells |
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01:13 | cellular networks, what is illustrated here neurons and this is the so most |
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01:21 | whose neurons here and these cell bodies Selma's. They have processes coming |
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01:29 | Some of these processes are called Hundreds these are called axons. The output |
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01:35 | the cell is an axon. Most the input into the cell is through |
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01:40 | and through the connections onto the Selma is where action potential is generated and |
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01:48 | is being regenerated and propagated from another which may be located a far distance |
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01:55 | and in the brain that could be cm a far distance away or even |
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02:00 | on the water of tens of the that can separate different parts of the |
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02:06 | neuronal networks. So this axon will the action potential. And when the |
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02:12 | potential will arise at the external terminal will cause the release of the |
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02:18 | So electrical activity will cause the electrochemical will convert it into the release of |
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02:26 | neurotransmitter chemical signal. This is pre neuron which releases neurotransmitter and the post |
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02:34 | neuron will receive that neurotransmitter onto its . And the fact that the post |
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02:41 | neuron is going to be dependent on types of the receptors at that post |
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02:46 | neuron expresses. It contains this very area is called the synapse pre synaptic |
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02:55 | post synaptic. This is called the . Um These are synapses that you |
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03:03 | in the cortex in the brain and are neuro muscular junctions and you have |
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03:10 | synapses also in the spinal cord within spinal cord proper and the spinal nerves |
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03:16 | the command will form what we call junctions onto the muscle so that you |
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03:23 | perform all of the muscle tasks that brain is commanding through the spinal cord |
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03:28 | the spinal nerves to perform at the . This is one of my |
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03:35 | Mhm. Now this is microscopic union shows neurons and these neurons come in |
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03:45 | 150 different subtypes. It's a variety neurons. It has slightly different functions |
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03:52 | express different ionic channels different receptors. will produce different patterns of action |
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04:00 | Some very fast frequency patterns, continuous intermittent and slow firing patterns. When |
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04:08 | say firing it's not a gun, an action potential because it's a very |
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04:13 | event that happens this electrical change. so there's very fast communication that is |
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04:20 | . And a single neuron can have to 150,000 synapses and a single neuron |
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04:28 | to integrate that information. A lot this information could be 1000 of excitatory |
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04:35 | , 3000 of inhibitory synapses that are . This neuron has to integrate that |
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04:41 | with a matter within a matter of to make a decision to fire or |
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04:46 | to fire. That is the That's what the neurons, if they're |
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04:51 | enough they will produce an action potential response to the inputs and they will |
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04:57 | that information further down the line. they're not excited enough they could be |
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05:02 | . That means their information will be , will be uh minimized locally spatially |
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05:12 | a specific area of the brain, . And neurons can fire up to |
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05:18 | action potentials are second. That's 600 . That's how fast some of these |
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05:26 | are these neurons which is not very shown a flag about glial cells. |
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05:32 | cells also come in several different subparts will discuss. Real cells actually account |
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05:38 | a larger mass of the cellular mass the C. N. S. |
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05:44 | the brain. The glial functions are little bit different. They don't produce |
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05:48 | potentials. Instead they have these slower of communication that are based on |
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05:55 | Their own election potentials are based on fluxus of sodium and potassium radio communication |
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06:03 | based on slow calcium mediated waves and functions are different. If the function |
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06:09 | neuron is to stimulate another neuron to neurotransmitter to synchronize to excite or inhibit |
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06:15 | self. The functions of glia has do with some slower temporal scale such |
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06:22 | control of inflammation um buffering spatial buffering abnormally increased concentrations of neurotransmitters or ions |
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06:34 | of cida cons control of blood brain that we'll learn a little bit about |
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06:43 | . We also so you have major are neurons and glia within neurons you |
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06:50 | excited neurons that will release excited to neurotransmitter. Glutamate, major amino acid |
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06:56 | in the brain can you have inhibitory that will release the major inhibitory neurotransmitter |
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07:02 | the CMS in the brain called Yeah mom you know Viteri Castle yo |
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07:09 | gather this is a micro microscopic view you can see that if you look |
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07:16 | more macroscopic view you see that the is divided into loads of the frontal |
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07:25 | parietal occipital lobe cerebellum brain stem. is will contain the cranial nerves and |
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07:32 | learn about the cranial nerves processing of out of sensor information from face regions |
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07:39 | down into the spinal cord proper and odd in between each vertebra. You |
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07:44 | the spinal nerve pairs, the spinal and the nerves will be subdivided cervical |
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07:51 | , lumber lumberjack and sacred. Now image illustrates the complex connectivity and all |
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07:59 | the interconnections, all of the axle and the fibers between different networks in |
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08:04 | brain. Illustrated in just a few and reality these pictures even more colorful |
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08:10 | more complex, have billions of neurons the brain. One brand with trillions |
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08:18 | connections. You know what this reminds of. There are seven billion people |
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08:24 | this earth with trillions of connections. the complexity of cellular networks, |
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08:33 | interactions, mechanism of action and so . This as complex is trying to |
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08:38 | the whole world and interactions between seven humans on this earth. And it |
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08:46 | not impossible. It is possible. think this is the task for the |
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08:51 | um century to actually understand the function the brain. From a single unit |
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09:02 | neuron all the way to the whole influence of that single neuron onto the |
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09:10 | brain and the central nervous system. I believe that this will be done |
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09:14 | this will potentially be done through noninvasive techniques that we're yet waiting to discover |
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09:20 | maybe some of these UFOs will drop good clues for us how to move |
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09:27 | with civilization. Okay, so think this image, You will know pretty |
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09:34 | all of the things that I've just and more, you will know all |
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09:39 | these things and more. We just about, you know about the stains |
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09:45 | stain different aspects of neurons and so . A little bit about your |
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09:50 | Mark Bear Barry Connors, Michael They're giants and neuroscience and their way |
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09:57 | thinking. Um They studied a lot the electro physiological about chemical, molecular |
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10:06 | . These are all different levels of in neuroscience. You can be buried |
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10:11 | a single molecule or you can study behavior or you can do both or |
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10:16 | can be looking at neuronal networks or can be working in the F. |
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10:19 | . R. I. Facility in hospital looking non invasively activity in the |
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10:23 | brand. So from single molecule to understanding non invasively activity in the brain |
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10:32 | behavior that different molecules cause in the . Uh The scientists also have spent |
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10:40 | lot of their time and life uh describing and understanding the concept of brain |
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10:49 | . The fact that our brains are . The fact that these synapses that |
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10:55 | have between neurons. They can be the existing synapses or potentially ated. |
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11:05 | can be weakened or depressed. That the activity between these two neurons becomes |
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11:13 | . New synopses can be formed or existing synopsis can be pruned and driven |
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11:22 | and as you're learning new material for today and then I'm going to come |
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11:26 | and reinforce it again as you're learning material, you're doing all of |
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11:33 | you're strengthening the existing synopsis because you heard about action potential. Just a |
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11:39 | , you're also building new synopsis because learning about things that you haven't heard |
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11:46 | and you're also producing new ways in these neuronal networks can communicate with each |
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11:51 | so that you can recall that information the task and apply it into whatever |
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11:58 | you want to take with it for future careers. So brains are plastic |
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12:07 | this plasticity, the theme of plasticity be echoed throughout the course. A |
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12:13 | example of plasticity is plasticity is learning ability to learn. We typically don't |
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12:21 | to elementary school or college at 60 old. We start early because when |
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12:27 | learning is happening there is a period we recall critical period of development during |
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12:34 | there is the highest levels of plasticity the brain. That means that your |
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12:38 | can reshape themselves much easier. Your can recover from injury much easier, |
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12:46 | as if you have a traumatic brain in a child and there's a physical |
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12:51 | in the brain, there might be potential of full recovery depending on the |
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12:56 | of the injury, the duration on aspects involved. But if there is |
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13:01 | loss of neurons and actual injury in brains, they may not be as |
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13:07 | of a recovery or even recovery of functions at all. Another good example |
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13:15 | language, learning foreign language. If come a lot of us are |
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13:21 | come to this country, first three years old, five years |
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13:26 | even if you were in a household english language was not the main |
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13:30 | you're probably indistinguishable from other locals, are surrounding area that you may be |
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13:40 | . But if you came here after years old and there's a reason why |
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13:44 | pick up a second language in kindergarten then fifth grade and then college is |
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13:49 | last chance almost to to learn a language after that. You're very unlikely |
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13:54 | do that because it takes much more and effort to learn that second language |
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14:01 | it as compared to if you were uh, in your early developmental |
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14:07 | And that is because of the plasticity more plastic brains and more malleable brains |
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14:13 | we're younger into early adulthood. And the connectivity gets kind of a set |
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14:19 | its own ways and the synopsis and course there's still plasticity even in adults |
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14:26 | in aging individuals, but it is as robust and the recovery from injuries |
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14:33 | not nearly as as comparable to what happen if there is an injury in |
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14:38 | developing in young brains. So, concept of plasticity. Uh, we |
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14:44 | new synapses and we do things motor , motor skills, we change our |
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14:50 | with evolution. Um, we change brains because we change what our bodies |
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14:57 | doing, We have a map for hands, We have map for our |
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15:05 | in the brain. And so think what we do 30 years ago. |
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15:15 | did not exist? Most of you not around this did not exist. |
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15:23 | means this is not nice. Which a physical shaping of the actual body |
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15:35 | that times the screen time. 10 of what? So if you are |
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15:43 | 10 hours stretching and exercising What's going happen to every day you're gonna build |
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15:49 | body great posture, right? You look more, what what happens to |
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15:55 | feel like this for $10. That's happens to it's called the cellphone |
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16:01 | It's affecting actually it's affecting a lot young people. But this is what |
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16:07 | seeing on the outside of the Right? think about if you wanted |
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16:12 | make a phone call 30 years If you want it To write a |
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16:17 | to somebody 30 years ago. What you have to do? I actually |
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16:21 | to take a pen and the paper sit down and compose it. And |
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16:26 | you messed up white it out and messed up really bad. Start over |
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16:31 | that note, write that letter. if you wanted to write like a |
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16:36 | official letter? You want to think typewriter. And on a typewriter you |
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16:41 | two hands. And you were We still do that. You know |
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16:46 | still use all 10 digits when we keyboards. But what do we use |
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16:52 | the phone? Two digits, one or this and this. What |
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17:00 | what are these fingers doing for 10 ? Nothing. They're just staying |
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17:06 | That means that it's not only the but it's also the synapses, the |
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17:12 | and that map that was there for hand to type and to make phone |
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17:17 | is now in the brain is a different map that represents the two dominant |
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17:22 | . They're just clicking away on the . And it's a it's a it's |
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17:27 | problem, you know, guilty as . But I'm also trying to um |
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17:35 | to to to you as a younger that a lot of things didn't |
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17:40 | We shape ourselves around the technologies around that come out. You know, |
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17:45 | used to walk to school and drive school, electric bike now versus a |
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17:50 | bike. There's a lot of things that are changing us. They're changing |
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17:56 | physically, they're changing us mentally They're changing also the connectivity of the |
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18:04 | , which is plastic and lends itself changes. Okay, Okay. Uh |
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18:11 | briefly discuss the roots of neuroscience and first neuroscientists. So about 10, |
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18:17 | ago with people are finding around the are skulls. Well, they date |
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18:25 | 10-30,000 years ago explanations of the different that have holes that have multiple |
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18:32 | Early interpretations was there must be there must be battle injuries. But |
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18:40 | there's a closer closer look, you see there's a symmetrical cut in the |
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18:46 | uh in some skulls, there are symmetrical skull. So if you wanted |
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18:51 | injure torture somebody who would not worry having a symmetrical skull cut in the |
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18:58 | . There's also evidence that these uh openings which we call triple nations or |
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19:05 | interpretations that those skull openings, we're not only in multiple locations on the |
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19:11 | but sometimes reopened multiple times. So is happening in parker indian cultures present |
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19:20 | Peru Mesopotamia, present day Egypt. scouts are discovered everywhere throughout. And |
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19:28 | now the interpretation, well this is really injury case, this is something |
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19:34 | . So this is shamanism of some . Again, if it was |
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19:41 | you wouldn't care about the precise incisions the skull and the skull bone. |
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19:47 | so, Okay, well if it's then why do you torture people because |
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19:54 | know, they were prehistoric times and what people did to each other. |
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19:58 | not true either. You know, you if you look back in the |
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20:03 | and you needed help 2000 years 3000 years ago, there was no |
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20:11 | and ambulance and emergency room um you to go to typically an obscure place |
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20:21 | the woods. We're shaman or medicine , that was somewhat of the |
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20:26 | but also where relied upon when somebody sick people would seek them out and |
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20:32 | if they have any special herbs to them to help them. So those |
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20:37 | and those medicine men were at the , the only health care practitioners that |
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20:44 | available. Okay. And really good were actually kept in the in the |
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20:51 | with the emperors and kings and queens and such and cons. So now |
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20:59 | is a tool that's been discovered and tool is a tool by which the |
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21:06 | transformations were made. And this the top of that tool depicts an |
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21:11 | holding another individual, the third one him and making this brain tra pronation |
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21:20 | . So hopefully there's maybe some sort a light form of anesthesia given maybe |
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21:25 | herbal anesthesia. But this is the again. Why would you want to |
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21:29 | something like this? So then it interpreted, It's a spiritual thing, |
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21:34 | person who is obsessed with evil spirits make a hole and evil spirits go |
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21:39 | up because that's what people spirits You know, spirits in general just |
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21:42 | up and never go down. That the interpretation. And and then we'll |
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21:49 | well, okay, so later we that these are potentially the first neurosurgeons |
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21:56 | existed on this earth. Because if have a rupture of the blood vessel |
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22:02 | hemorrhage in the still of the blood the brain coagulation build up. Uh |
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22:08 | blood, it will impact the brain will cause pain, will cause pressure |
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22:13 | start killing neurons and can kill you . How do you clean up a |
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22:19 | a wound like this? The only you have to open up the skull |
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22:24 | you have to clean it out and if it's still accumulating there, you'll |
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22:28 | to open it a little bit maybe three months later and clean it |
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22:32 | , repeat the procedure. What happens you have abnormal fluid build up not |
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22:37 | the blood coagulating but not abnormal fluid up like cerebrospinal fluid, you have |
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22:41 | drain it. And that's also the way you would do it. And |
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22:46 | these we we recognize these individuals shown on the stool is potentially the original |
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22:54 | that we're trying to alleviate pain or or spirits. They may have been |
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23:01 | . There's some biological things with some things that that people were interpreting at |
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23:08 | time in the world. Okay, the last uh thing that I would |
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23:17 | to discuss with you today very briefly to remind you About COVID 19. |
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23:24 | we're going to continue with the This was just a little bit of |
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23:28 | teaser how it all began. And reason why I want to mention this |
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23:34 | and explain things to you is because of us are still dealing with the |
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23:39 | are just dealt with that some of had virus two or three times. |
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23:43 | of my friends, you know the hands. Uh how does this virus |
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23:52 | into the brain? This is what are interested in. This is neuroscience |
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23:57 | . So of course the virus will the body, will affect the |
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24:02 | will cause lack of oxygen in the . But how does that affect the |
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24:07 | ? How does the virus get into brain? But why should you |
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24:10 | You should care. Because if you um, you know, compromise. |
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24:17 | you're vaccinated, you potentially have to a mask. And when the epidemic |
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24:26 | in 2020, there were two types masked wears, the ones that were |
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24:34 | a mask over their mouth only and ones that were a mask over the |
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24:39 | and faith. I mean, and those and uh, I was wondering |
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24:44 | people were doing that. And sometimes would ask them. I said, |
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24:48 | , I can inhale it. It's respiratory, so if I cover my |
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24:51 | , it's okay. Well we forget we're inhaling through our noses too. |
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24:57 | so anything that goes into our you know this, it's also coming |
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25:04 | passages, but everything that's being inhaled our lungs and miles, there's still |
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25:11 | little bit of back flow into our too. So it can, it |
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25:16 | come from outside. Now, the thing about our own noses is the |
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25:21 | anatomy. I don't know why this kind of a disfigured a little |
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25:25 | Let me do it like this. what you have is a unique anatomy |
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25:37 | you have this is the plate right of the skull is referred to as |
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25:43 | reform plate and this is the crew formation which stands for CFP reform formation |
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25:54 | this is called Crystal gallery. And see these little holes in the skull |
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26:00 | . So this is the skull piece here that's sitting basically up in your |
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26:04 | nostrils. It's a little piece of skull that it has physical holes in |
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26:10 | . And through these holes you have receptor nerve endings that descend and dangle |
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26:18 | here in your nasal cavity. And is where older molecules bind. So |
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26:23 | is how you create a sense of or olfaction. And we'll talk about |
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26:28 | fact that the feeling of the south involved secondary order nerves when we talk |
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26:33 | olfaction. But besides the older molecules into this olfactory receptor neurons which create |
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26:40 | of the smells and flavors for You also have the ability for the |
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26:46 | system bacteria to infect all factor at feeling. And in fact olfactory receptor |
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26:53 | . And this is why we lose sense of smell is pretty common chemo |
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26:58 | dysfunction with code that is a loss smell or anosmia because there's infection of |
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27:04 | receptor nerds by the way, if lose the sense of smell, you're |
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27:11 | when you're eating foods, you're left salty, sweet, sour, |
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27:21 | umami spicy, there's no banana, no raspberry, there's no chipotle spicy |
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27:34 | , chipotle a red pepper. doesn't what it is. Salty is |
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27:39 | So all of the flavor perception that create in your everyday life when you |
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27:46 | and when you taste things. Because you consume a food like a banana |
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27:52 | is in your mouth goes back and odor molecules bind to the olfactory receptor |
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28:00 | and the tongue and the taste receptors tell you banana sweet, a little |
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28:07 | tangy. The nose is gonna tell banana. Okay so life becomes pretty |
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28:16 | when you're reduced to that. Some will cause a loss of taste |
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28:22 | With COVID-19 infections is because it can infect the taste receptor neurons. So |
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28:30 | it's really bond. There's no more sweet spicy, there's cold, hot |
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28:38 | soft, hard texture is the only that's left and it can be really |
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28:47 | depressing if you lose it for quite time. I lost my sense of |
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28:51 | for five days and always joke. was one good thing. It was |
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28:55 | I couldn't tell the difference where I if I was in a perfume store |
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28:59 | bathroom. It didn't matter. It all good. But it got really |
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29:05 | of psychologically uh difficult. I don't if any of you have lost sense |
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29:10 | smell but it was like where's my of smell when it started coming back |
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29:14 | was wonderful. I can smell it smells so wonderful except for the |
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29:22 | . So this virus obviously he inhaled virus, it goes into your |
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29:27 | goes into the blood from the If you have high levels of |
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29:32 | a viral load through Vira mia from blood and cross into the brain. |
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29:40 | that's typical. But it can also the nasal cavity. Just inhale your |
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29:47 | breath and it actually can infect your epithelium factor exception. Once the virus |
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29:57 | in the lungs, it compromises levels oxygen and causes slight levels of hypoxia |
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30:03 | brain. And neurons are very sensitive oxygen. So neurons, if they |
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30:09 | oxygen for longer than two minutes they dying. Other organs are not as |
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30:15 | to the loss of oxygen. That's yesterday spoke about Damar Hamlin, the |
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30:21 | player that had a cardiac arrest on field after the hit, he's back |
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30:26 | of the hospital. He doesn't have neurological damage. And the reason why |
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30:30 | because it was a world class medical sitting on the football field sidelines and |
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30:36 | doctor immediately said, I didn't like way he fell and he was administered |
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30:42 | and given oxygen within one or two . And in instances when a person |
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30:50 | like Damar hamlin, he clinically died the football field for however long seconds |
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30:57 | minutes. Uh if a person has cardiac arrest dies or has a cut |
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31:03 | oxygen Uh due to long function for than two minutes, neurons will get |
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31:10 | will get damaged and it could be damage. And people that suffer from |
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31:15 | arrest and died for 5 to 10 , there's typically a decision being made |
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31:20 | you want to revive them back to because the vital organs may be |
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31:25 | But they may be a vegetable for rest of their lives. And that's |
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31:29 | neurons are exquisitely sensitive and they need levels of oxygen supplied through the |
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31:35 | It goes into the blood and crosses the brain and in hypocrisy compromise the |
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31:42 | brain barriers the barrier that protects then that are found in the blood. |
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31:49 | have a lot of substances in the . You haven't ethereal cells that will |
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31:53 | the walls of the blood vessels but substances in the blood if they're really |
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31:59 | , if they're fat soluble, they cross through these cells through the real |
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32:05 | and astro glial cells. So the cells will have their empty, also |
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32:11 | what crosses from the blood into the and everything. Small substances, |
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32:16 | Other bigger substances they may need to transporters, co transporters carriers that will |
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32:23 | they have to bind onto something. so this virus finds to ace two |
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32:30 | and the ace two receptors are found then the real sells its effects on |
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32:34 | cells and infect glial cells and there's variety of glial cells. This is |
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32:40 | astrocytes and we'll have the end feet the blood vessels here. Micro glial |
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32:45 | are legal tender sides. These are subtypes of real cells, if you |
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32:49 | know better as we study the material what happens is that both of these |
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32:55 | , neurons as well as glial cells these two receptors. And once the |
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33:00 | enters into the brain now have multiple uh that it can hang onto and |
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33:06 | very important. So when it comes the olfactory epithelium will study the circuit |
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33:13 | . There is a stew receptors and epithelium which ends up causing the |
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33:18 | The olfactory epithelium ends up causing the in this mucus layer of the olfactory |
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33:23 | , neurons and loss of smell. ace two receptors in general angiotensin converting |
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33:31 | two receptors are found throughout the the brain, heart, kidney, |
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33:36 | , both in the CNS and Um what is their function? Their |
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33:43 | surface receptor that is involved in control blood pressure and hypertension. And so |
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33:50 | learning a lot of things that are to COVID-19 infections have to do with |
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33:55 | blood problems with coagulation of the blood coagulation in the lungs. If the |
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34:03 | is strong in the lungs, coagulated in the brain, if there's infection |
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34:08 | the brain. And so the virus the brain can cause inflammation and can |
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34:14 | cause cell death too. Uh so there's a high viral load that penetrates |
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34:19 | the brain and in the mild cases can cause brain fog and brain |
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34:26 | not just body fatigue but in severe and immuno compromised individuals. It can |
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34:33 | to stroke, it can lead to and cell death of the brain to |
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34:38 | significant loss of function following that. in this lecture that I'm just introducing |
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34:45 | it will come back. I will some new literature and information that is |
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34:53 | emerging on this disease. And the why I want to spend a little |
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34:57 | of time in the sport's first introducing concept and then ending with this concept |
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35:02 | because this is an emergent disease the of it as well as the treatments |
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35:07 | it and it is very much affecting C. N. S. So |
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35:11 | important for us to understand it. as a health issue it's an ongoing |
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35:16 | issue at the moment. Thank you much and I'll see you all next |
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35:22 | on monday. That's a long |
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