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00:00 So today is lecture last lecture which mid-term three review and we start with

00:09 the auditory system and if you recall the in the auditory system um We

00:19 about the properties of sound how these of the air molecules. These oscillations

00:26 the air molecules. Um Different frequencies different intensities or amplitudes enter into the

00:36 through the external air which is external me, a tous. And then

00:41 have the middle air which contains the panic membrane. The obstacles over window

00:47 the inner air which is a part the coakley, a part of the

00:51 cochlea Perata's That has the cranial eight Mr Bullock cochlear nerve and the

00:58 component carries information from the coakley. this is the use station tube that

01:02 discussed also the obstacles will then amplify movement of the air drum and moved

01:09 fluids and the three chambers of the that are scalable stimulus, media and

01:15 tympani. They contain paralympics in the of tympani and the stimuli and and

01:21 lymph which is high in potassium in case of media. Media also contains

01:26 organ of corti which has the hair that transducers the mechanical movement of the

01:33 into electrical receptor potentials. There is ton of topic map in the coakley

01:39 where the cells hair cells that are the closest to the oval window process

01:47 highest frequency of sound and the further you go to the apex or the

01:51 prima, the end of this unwrapped like cochlea. The cells will be

01:59 increasingly lower frequencies of sound. So have this total topic map the trans

02:05 shin of mechanical movement happens by displacement the basilar membrane by the movement of

02:12 fluid. And the displacement of the membrane which contains the organ of corti

02:17 the supportive cells and three rows of outer hair cells. One row of

02:21 inner hair cells, displacement up for and bending of the hair cells,

02:27 to the right will cause deep This is steady state or no deep

02:32 . Zero change in the potential and deflection downward will bend the cilia in

02:37 opposite direction, causing hyper polarization. therefore the oscillation or the oscillation that

02:45 see in mechanical oscillation movement of the of the obstacles and then fluid movement

02:53 and the electrical potential oscillation translated by hair cells. So three rows of

02:59 hair cells and one row of inner cells. And most of the information

03:05 the higher processing centers is communicated from inner hair cells. So you see

03:10 crane, the cranial nerve aid portion the cochlea nerve, contacting mostly the

03:17 hair cells not the outer hair Inner hair cells have tr pD one

03:25 is transient receptor potential to be one . It's a mechanically gated channel that

03:32 permissible to potassium and there's a high of potassium in the end of the

03:37 and so when there is a bending the cilia. These channels open up

03:41 opening up of the channels will potassium inside the de polarize the

03:46 Open voltage gated calcium channels, influx calcium will result in the neurotransmitter release

03:53 deep polarization. Now there is another feature here between these channels called the

04:00 link pro dance that these channels and Jason cilia are interconnected with the tip

04:04 the opening of one of the When it moves into, let's say

04:09 direction will encourage the opening of the on the nearby cilia. The outer

04:15 cells have spring like membrane proteins that for them to essentially exemplify and exaggerate

04:23 movement of the tech tore real Once there is a movement of the

04:28 membrane and so it allows for greater and allows for better encoding foot by

04:34 inner hair cells, the auditory pathway the cochlear to as you recall in

04:41 of these pathways you look where the is located. The auditory pathway goes

04:46 the ventral cochlear nucleus from there, fibers go into the superior olive from

04:51 sides. So you have by oral uh by oral sound processing at the

04:57 this low level of the brainstem here you have projections going to midbrain to

05:04 curricula some part of the corporate contra from there to the medial nucleus nucleus

05:09 the nucleus and thalamus dedicated for auditor processing and onwards to the primary auditory

05:17 the stone, a topic map of map that you have aligned here along

05:22 coakley A and hair cells is preserved the spiral ganglion cells and into the

05:29 the way into the primary auditory cortex the cells that are located under these

05:34 will be selectively responsive to specific frequencies sound sound localization. We discussed uh

05:43 there's anatomy built in the air that drive the sound. The sound coming

05:48 one direction will reach one here the second year is in the shadow

05:51 with some delay will reach another And so the mechanism of activation of

05:56 year and initiation of the action potentials one side will result in the convergence

06:03 these signals. When it reaches the of the other ear, the sound

06:07 the other air and you have that potential. The convergence of these signals

06:12 indicate where the sound is localized if converges on three, that means the

06:17 is localized on the right. If were to converge on to, that

06:20 sound is coming from the front or back at the same time. If

06:24 were to travel from the right side and the left side later it would

06:29 converge on one which would indicate the is coming from the opposite direction.

06:35 talked about the hearing impairments, conduction . So anything to do with conducting

06:41 sound mechanically. It's impairments and calcification, rupture of the air drum

06:48 the sensory neuron which is damage and and the degeneration of the hair

06:54 Tinnitus is ringing is because of the loss of hearing. And what happens

07:00 then the cilia that are holding up tutorial membrane for the cells that are

07:05 , the directorial member and becomes So there's constant movement of the pictorial

07:11 and it's not being held steady in with all of the hair cells that

07:15 be there producing this high frequency pitching called the tinnitus. If there is

07:21 complete loss of hearing, then there a procedure with cochlear implants which essentially

07:27 have the microphones receiving the sound then that sound into an electrical stimulation and

07:35 an array of electrodes that will get along the cochlear to to stimulate.

07:41 this case the hair cells are dead stimulate the spiral ganglion cells because of

07:46 tonal topic map the coakley arc cells are responsible for high frequencies will be

07:53 close here and the low frequencies will located at the hilly country MMA.

07:58 you can reproduce the rudimentary representation of sound of different frequencies using the cochlear

08:06 . And we finished the lecture by video which was more fun but just

08:11 illustrate that other animals have much better localization and in part because they also

08:19 a symmetry in their ears. And certain anatomy like the feathers, making

08:24 like big cops behind the ears to all that sound. They don't rely

08:29 other senses as much in sound localization we do. And I'll skin to

08:35 at night and underneath the snow without the prey just by by listening and

08:41 it not only within you know left right but also the depth of sound

08:46 is really excellent in these animals. that concluded our first lecture. Our

08:55 lecture was on this amount of sensory where we talked about the processing of

09:00 , temperature, pain and appropriate exception position, position of joints and muscles

09:05 respect to the rest of the body the gravity and the earth. We

09:10 all of these different nerve endings that inside the skin and they're widely distributed

09:16 the body. We have some of that are rapidly reacting, others that

09:20 slowly reacting rapidly adapting or slowly And they're small and large and we

09:29 a lot more sensitivity and discrimination This two point spatial discrimination tests will

09:36 that you have a lot more discrimination your fingers around your face, around

09:41 mouth, not so much in your . And then again you have more

09:46 and other parts of the body. that has to do with the distribution

09:50 these nerve endings, the size of nerve endings that you find especially in

09:54 digits. Uh there's four types of that will carry that information. Everything

10:01 the head will be carried into the cord. You have the first group

10:06 fibers, the fastest largest appropriate The second one is mechanical receptors or

10:12 . The third one my eliminated the and temperature and the fourth group and

10:17 eliminated fibers is for processing temperature, and itch sensation, which is the

10:22 lasting sensation. All of these projections go into the spinal cord through the

10:28 root ganglion and each one of the root ganglion will be responsible for a

10:35 Dermot, oh, on one side the body. So just like we

10:39 the divisions in the vertebra and also divisions in the spinal nerves of the

10:45 cord such as cervical thoracic lumber, . You also have the cervical,

10:52 Dermot tones lumber and sacred, representing one on each side off the

10:59 We discussed the derma tones also with to shingles where early on we talked

11:05 viruses and some of the virus is the ability to travel and to greatly

11:10 lee and the herpes. Zoster virus causes chickenpox and can get reawakened and

11:16 in just one single spinal nerve on side of the body, essentially lighting

11:24 with inflammation and paying one single derma . Uh this virus is capable of

11:30 Antara greatly and after being dormant, capable of moving back, retrograde

11:36 in other words, going into the nervous system and then out of the

11:41 nervous system back into the periphery, havoc on the nerve endings and inflammation

11:45 the nerve endings. Secondary order processing . Everything from the neck down goes

11:52 the spinal cord and a sense through dorsal column nuclei. And you can

11:58 again these cuts right here in the oblon gata you have fibers through dorsal

12:06 that go to dorsal column nuclei and medulla and then cross over from the

12:11 column nuclei. They cross over on other side so they become contra lateral

12:17 project the ventral posterior nucleus of the nucleus, dedicated for that matter,

12:22 information processing and from there to certain of the primary somatosensory cortex area.

12:28 . One fibers that process information from face of these large mechanical receptor accents

12:36 face come through cranial nerve, five nerve that carries that information to the

12:43 sensory trigeminal nucleus located at the level the ponds and from there it crosses

12:51 Into the VP of the Thalamus and different portion of the S. one

12:59 . So madam sensory cortex as we has different representations and cortical maps.

13:06 there's a cortical map for each digit we talked about and this is in

13:12 because we humans use digits and non primates use digits. To a lot

13:20 animals don't use digits as much but lot of our brain area in this

13:27 the Samata topic map is not it's not continuous and certain body parts

13:33 as hands, face and genitals dedicated dedicated more cortical matter for processing somatic

13:42 of information from those particular areas. if you look in the animals that

13:48 other things in order to survive and procreate what they do is they whisk

13:54 . And if you look in the cortex of the road and rat,

14:01 mouse you can look at other Cats. Um Dogs have whiskers to

14:10 pad and these whiskers that come in certain number of rows 12345 and a

14:16 number of whiskers that will be found every whisker pad. And each one

14:21 these whiskers has a representation of the of somatosensory cortex in the form of

14:27 barrel. So we call this the cortex. Each barrel represents as a

14:32 unit for processing information for that whisker the cortex. And of course there's

14:37 functional map that that structural unit can . So we talked about this exquisite

14:44 system where you can move whiskers, can inject activity blockers such as glutamate

14:51 blockers to block synaptic transmission from You can cut a part of the

14:58 off. You can cut the whole off. It's not very very painful

15:03 it probably is to some extent but is not brutal manipulation. You can

15:09 the whisker so there's all sorts of things you can do to see how

15:14 movement of the in the periphery can the brain mask and reshape the barrel

15:20 . And so we looked at this the example of C. Two whisker

15:24 moved and there's very specific barrel that activated. But of course it's not

15:29 the barrel that gets activated with the of the whisker. You then communicate

15:34 information to the surrounding structures to the brain areas and creating a whole brain

15:40 for the sea to whisker activation. this is E to whisker activation.

15:46 also starts from very specific spots, small map that then that activity map

15:51 that structure. The barrel spreads throughout interconnected structures in creating this map for

15:57 . Two Whisker. And if you the C. Two whisker and you

16:02 with dermatologic blockers and block synaptic you basically don't create that map

16:09 That map is blocked and E two will still produce that map in

16:15 Nonhuman primates. We have a precise map for the somatosensory cortex and the

16:22 map is plastic. So if there's loss of a digit that surrounding digit

16:28 mass will take over the map or cells that are not being activated.

16:34 we also talked about how it doesn't to be as severe as lost.

16:38 a constant use of a certain digit result in reshaping plastic lee the

16:44 both structurally and functionally from there. went into talk by dr Ramachandran

16:52 you can just look up Dr Ramachandran the quality is not that great on

16:58 the video points because it's recording of , then just go to ted and

17:05 Ramachandra. He discussed three conditions you were tested on them, but just

17:10 it was cobb grass syndrome, all . It was uh phantom limb syndrome

17:20 it was synesthesia. So crabgrass, talked about the connectivity that's impaired between

17:26 facial recognition centers and emotional centers. he used a very simple method of

17:32 it, galvanic skin response. If sympathetic system engages, your body temperature

17:38 up, uh your conductivity increases because skin actually becomes more moist. So

17:47 measured that to determine the emotional response to determine that there is actually missing

17:53 response. In the second, the of the lecture, he talked about

18:00 phantom limb and this relates to these . Even when the digit or when

18:06 hand is lost, there's certain plasticity doesn't necessarily reshuffle itself. It doesn't

18:14 happen that you have this reorganization, and functional reorganization. And so in

18:21 case, you have still the perception pain or the perception of a crushed

18:27 . If that's what you had. he uh talked about plasticity and he

18:32 about how to reorganize these maps and the visual input as a very strong

18:40 effect on being able to eliminate this of sensory component. So, you

18:47 about this cross modal communication and the that we don't understand very well that

18:53 in the association areas and can association ultimately reshuffle part of that load,

19:01 to speak, critical load. That's to processing different information. The third

19:08 that you talked about was synesthesia And there was a genetic component, there

19:13 a gene and the trimming that was between the number, color,

19:20 color area and that genetic components seem carry the people that have more creative

19:28 artists, poets, painters and people engage in more of a metaphorical,

19:35 mathematical I guess thinking although for me two can can can overlap. Uh

19:42 he talked about angular gyrus and he that there's something very interesting going on

19:47 that's something interesting is that the brain plastic and our environments are changing the

19:53 , changing the cross modal interpretation is . We're all sinister resides or synesthesia

20:03 we associate things we learn by association a lot. So remember all of

20:09 interesting parts of angular drivers. Diffuser Dreyer's how they're involved and how you

20:16 utilize some simple tests to determine if if your sin, aesthetic or

20:22 And he used it on everybody in audience actually had the very last

20:27 So this is uh this is a of sensory system component. Uh actually

20:36 from it's from you can read I didn't talk about it. I

20:40 it to to show his his young face here but he he did some

20:49 other very clever and interesting things like example the to to demonstrate that the

20:56 was discontinuous feel like used the Q and he was touching the forehead and

21:00 were saying I feel sensation in my . You know he was like well

21:04 is because you know the map is . So so you can read it

21:09 the it's in your book. A of discovery. I won't ask you

21:15 that. Well faction. We discussed the odor molecules or Turpin's the odor

21:25 basically contact the olfactory cells or the of these olfactory cells. Olfactory receptor

21:32 that project onto the factory both through cranial nerve one this is the olfactory

21:43 projecting total factor involved. So the molecules will bind and through the G

21:48 coupled cascade will influence the influence of and calcium. The mixed kati on

21:54 and will regulate chloride by causing the polarization. So actually increase or decrease

22:01 levels of chloride in this way. this signal then the odorant signal then

22:07 a receptor potential signal. Deep polarization receptor potential. It travels through the

22:14 drive into the olfactory receptor cell. produce the action potentials and the olfactory

22:20 carries those action potentials Into the secondary cell. So what's interesting in the

22:27 epithelium we talked about is just a receptor neurons then when we talked about

22:33 , we actually talked about additional structuring olfactory epithelium Specifically as it related to

22:41 stew receptors. An invasion of COVID-19 the cns through the olfactory epithelium.

22:49 what we talked about the circuit on circuit level and then the processing level

22:56 have each receptor cell expressing a single receptor protium here coded by cell

23:04 So these different colors that you see an array of colors represent different olfactory

23:11 neurons of code for specific protium that responsive or responds in a certain way

23:18 specific odor. So green one will very actively to sit tress but it

23:24 not respond to Amman smell Red one actively respond to peppermint and amon,

23:32 it will not be responsive to sit . And really a single smell,

23:37 citrus smile, floral a peppermint salt engage different odorant receptor neurons to different

23:48 , different frequency of action potentials or . Yeah, and that information from

23:54 olfactory epithelium is communicated into the second olfactory neurons in the olfactory evolved where

24:01 have the factory track formation. The order olfactory neurons. Now when they

24:09 into the olfactory bulb from the olfactory in each glaucoma literalists you'll have projections

24:18 one color of the cells. Remember one color represents a specific order and

24:23 that is expressed for that order. to bind. And so you have

24:28 of these different family ally and the evolved that will contain information from blue

24:34 , from green sauce, red sauce so on. And you can have

24:39 shades of blue which means that there's to be maybe similar information processing along

24:44 blue protean line. So let's say blue, let's be simple. Will

24:49 like blueberry and anything that's similar to will be within that blue shade.

24:56 . And of course everything that blueberries only activating blue cells but also green

25:02 . To some extent yellow sells everything similar to blueberry. I don't

25:06 Blackberry is activating those cells but also different subset of cells. Okay,

25:12 now from these projections in the olfactory kill the secondary order neurons from the

25:19 bulb go to the olfactory cortex and temporal lobe structures directly. So it

25:25 a direct input into the limbic So this is the memory, the

25:30 centers that the olfaction can actually And also for the smell perception the

25:38 goes through the factory to brickell into medial dorsal nucleus of the power mints

25:45 and from there it goes into the court, access the secondary order.

25:51 are neurons in the they are right from the olfactory bomb projecting into the

25:59 or projecting into the olfactory cortex and related temporal lobe structures which is the

26:05 system that will contain elements like hippocampus to memory emotion and the perception of

26:16 so to speak is processed through the path lit. And so you have

26:22 different cortical maps that each smell So you have a minty smell here

26:32 the olfactory bulb and this is the smell map olfactory bulb. And if

26:37 have fruity smell, this is the smell. What is the fruity

26:41 I don't know, everything is fruity the smells, fruity smells can be

26:45 different, you know from uh you , apple to oranges, very different

26:53 . It's apples and oranges right? now you have also individual cells in

27:01 general I an individual luminaria lights that light up for different, you

27:05 fruity, piney cut grass, fruity . But it's really interesting because you

27:12 turkeys, there's other molecules that don't create the perception of smell, but

27:18 actually have a much broader maps. not just here at the level of

27:21 olfactory bulb, it actually this is map for the roses in your

27:28 So everywhere you see the red and dot fly it up. These are

27:32 parts of the brain that get engaged you smell rose and maybe you start

27:36 about roses and then the memories that may bring to you and this is

27:41 mint map, rose map, banana . Lemon map. They're somewhat similar

27:49 when you look at it. But you look at individual red hotspots

27:55 It's quite different, you know like has this red hotspots and rose does

28:00 have that these two red spots from there. So it has a different

28:05 . This is the Turpin maps that processed. So we talked about the

28:08 and then we talked about this pumping other animals and in part humans,

28:14 have smell maps, you know, we come up to something, we

28:18 okay, we know it's a bathroom we know it's a perfume store or

28:22 know, you know, it's a , you know, sewage treatment facility

28:26 athletic facility. It's interesting, even national smiles that people have, you

28:34 , and animals, other animals have maps. So we rely on a

28:39 of visual information, you know, sensory auditory bees have heat maps so

28:48 perceive the world differently and have these Niles. Again, if you talk

28:52 rodents, you know, they're not to read the street signs, you

28:57 , I'm going to say this I'm here at Exxon mobil and this

29:01 , they're probably going to smell something that intersection, a dead animal,

29:05 know, that's how they're going to that it's there. So they're going

29:08 have a smell map my dog when walk her, she knows she got

29:13 her corner of the driveway because she like, that's it, her attitude

29:18 , you know, and she cannot very well. So this author created

29:22 city smell map for Edinburgh of how smells with these different colors represent different

29:29 around the city basically, you these dots being a lot of breweries

29:34 throughout the city, but parts of city smell like the ocean and the

29:38 and the smell like breweries and bakeries smiling industrial production plants and so

29:44 Yeah, yeah, she's just she's artist. You can do whatever you

29:50 as an artist. So then we about how what are some of the

29:57 molecules and how perfume industry has really that this light notes, we call

30:02 top noses very volatile short carbon chain . Age 10, Then use heart

30:09 10, 12. And then you the long notes that are kind of

30:13 animal Alec body would smells mold like sometimes with linger a long a long

30:21 . They they're they're longer carbon chains to 16 carbons. And then over

30:26 carbons, we cannot smell dogs even smell uh and cannabinoids because we talk

30:34 cannabinoids later, 22 carbons long, cannot smell. And Canada's has very

30:41 smell. Some Canada's will smell like , others like dirty socks and there's

30:46 gasoline, Others like Citrus. And because the 13s are co expressed between

30:53 plants and fruits and flowers And it what it produces. So when when

31:00 anybody smiles flower with its cameras rose flower you're smelling 13s and uh

31:08 that's that's that's important to know. it's important for the future. Also

31:13 think that these are going to be areas, neuroscience is very broad.

31:17 think about neuroscience that is applicable in different areas and can make you really

31:23 . And even if you are practicing I call bench lab science, you

31:26 still be really smart and maybe consult about what they don't understand because large

31:33 and large firms are introducing concepts like economics. You know, they have

31:38 of people sitting there thinking how they tap into your primal brain. So

31:42 will make that click And how do bypass your consciousness somehow. Your

31:48 your your your your fiscal responsibility, it is make that click through

31:55 you know $99, whatever it But that's your economics. Why why

32:02 would people click because of the census get engaged and the cross modality synesthesia

32:09 these senses. And now we have social media that know your habits so

32:14 know your senses. So now they say okay, we know that so

32:19 so likes lavender and soap and this that. You know and and and

32:25 they can derive that data but understanding the brain surface process that what's the

32:31 of the brain circuits is really important very interesting now with this sense of

32:38 during Covid a lot of people experienced of sense of smell and we talked

32:43 it when we talked with Covid I'm not going to review it.

32:46 we talked about the loss of sense smell and we talked about invasion of

32:51 19 3 ace two receptors into the epithelium and the loss of these nerve

33:00 . So luckily we regenerate them. for some people the inflammation may not

33:06 in significant loss. So they regain sense of smell in 123 few days

33:12 others it can take 23 months sometimes it's horrible because it really changes how

33:19 perceive the world. I lost sense smell like I said in five years

33:24 times did to viral infections of the because the cold and flu viruses can

33:31 result in anosmia. And when you the sense of smile it's it's really

33:38 only just you don't smell it's actually psychologically devastating. Is that it like

33:45 never gonna smell again. Like imagine be able to touch and feel what

33:49 touching was like what? That's the thing. And then the taste and

33:54 the taste goes you know the salty and we still have some sweet

33:58 You're tasting spicy stuff and you're not spicy stuff and you're like whoa that's

34:05 that's very different the way this cross understanding goes, it changes your perception

34:11 it could be depressing. Really So people that don't taste anything or

34:17 . They go for texture. You and that helps them because they are

34:21 different textures and they can touch and the touch still. Okay so that

34:28 our lecture on the whole faction. me take a little pause here hide

34:36 you look at the slide of first how much did you know and how

34:42 do you think You know now you or at least you know you've got

34:46 good insight and a glimpse. Even you don't remember the equilibrium potential for

34:53 at this stage. I think that lot of things and even in this

34:57 section kind of a broad something's Like if we're talking about olfaction we're

35:02 about brain maps olfactory brain maps. talking about a factory circus. We're

35:09 about covid 19 and invasion of covid . Which is really really relevant.

35:13 I think a good science needs to relevant science with what is happening.

35:18 important to know the history which we and you forgot by now already

35:22 So you know you did it But so now we have this understanding

35:27 the individual cells of circuits of networks lobes of gross structures. Individual and

35:35 structures different levels. And what networks they produce oscillations of different frequencies And

35:41 can record these oscillations using electroencephalogram and we record these different oscillations. And

35:48 . G. Is recorded on the of the brain. I'm sorry on

35:51 surface of the scalp. But intra you can actually have recordings done on

35:57 surface of the brain that is in extreme cases of neurosurgery. And you

36:02 see that these different rhythms with the , beta delta delta gamma, their

36:07 rhythms. That means that when you these caps and recording the activity,

36:10 activities synchronized activities of cells will fall one of these frequency regimes that are

36:16 frequency regimes. They represent different behavioral . Drowsy versus asleep versus deep deep

36:24 versus excitement. The combination of the neurons, the complexity and the diversity

36:32 you see in individual circuits. Their to produce different frequencies of action

36:38 It's basically this dialect of individual neurons coming together and making a choir or

36:45 orchestra that can be recorded on the of the brain is strong enough.

36:51 talked about the ethnicity of the circle life versus panta rei. So we

36:57 a little bit about philosophical understanding and system of rhythms. And how is

37:03 system of rhythms can be mathematically And so if you aligned all of

37:08 dominant frequencies, dominant rhythms of the log on the land scale actually have

37:15 separated by a whole full integer. need different rhythms. Multiple tasks,

37:20 behavioral states. We also need circuits produce multiple rhythms at the same time

37:30 . Mm hmm. In Apple A. This is not the slides

37:35 we viewed actually. I love Okay, so when you record

37:43 E. G. S again, recording the signal on the outside of

37:46 scalp and it's mostly activity from the dendrites of parameter cells. Of course

37:51 collections of neurons, the circuits of that are synchronized, synchronized strong enough

37:57 unison. So that information gets filtered all of the pierre rock madura

38:04 skull and scalp still reaches the electorate the outside of the brain mountain basil

38:10 and so synchronized activity inputs. And large numbers of cells will result in

38:17 dominant rhythm recorded by E. And there are different rhythms and these

38:23 are present in different animals. Not of the animals will have all of

38:27 rhythms that means that their circuits are but the ability to process information are

38:33 decoded recorded recorded uh and recall it different. You have these spindle rhythms

38:41 ripples that are very fast that are for learning and memory are produced in

38:47 york cortex and hippocampus. And also circuits have the ability to have slow

38:53 and on top of those slow You can have fast rhythms riding on

38:57 of them. So the ability to simultaneously at two or three different

39:06 Not necessarily resonant frequencies but just at frequencies. Epilepsy is a rhythmic disorder

39:14 ultimately to diagnose seizures and epilepsy you E. G. And in some

39:20 when E. G. Recordings don't anything in a couple of hours and

39:25 say a patient is experiencing seizures or something something at night. Let me

39:31 that patient to stay for the night some extreme cases where they cannot figure

39:37 what is going on and the medications not helping. They may have the

39:42 for long term E. G. which is sometimes up to a week

39:47 wearing the cap living in the hospital to monitor the activity to find out

39:51 did the seizures start. They're prevalent Children, they're prevalent and older

39:58 There is many different reasons why c come about, such as tumors,

40:03 genetics, metabolic dysfunction infections, viral , bacterial infection, meningitis encephalitis.

40:13 all of the things we talked about and encephalitis. When we talk about

40:17 infection too. And with covid if you have encephalitis, you you

40:24 a chance to develop seizures and potentially seizures which is repeated seizures and epilepsy

40:30 different types of epilepsy, ease vascular and environmental factors. From the genetics

40:38 we looked at this channel that we from the very beginning of the

40:42 both educated sodium channel that has four units six trans membrane segments as ford's

40:48 , educator. S five and six the pore loop that regulates the ions

40:54 in and out of the south and of these red dots that you see

40:59 mutations that you can find on both sodium channels that will result in

41:04 M. E. I, which for severe maya clonic epilepsy of

41:10 Multiple mutations along the channel. This educated sodium channel can result in sME

41:17 sme I is also known as Job syndrome, D R A G

41:22 T. All of these green dots you're seeing here are different mutations and

41:28 amino acid sequences. Right? Because are protein channels, they will cause

41:33 epilepsy with fibra seizures. Plus, we discussed, the difference between generalized

41:39 is in partial epilepsy. So partial epilepsy is two and fibra seizures are

41:46 induced seizures. And so what We talked about how Children infants,

41:51 they have an infection, if they fever and their body temperature goes up

41:56 104 why do you go to the room, why do you put the

42:00 in the eyes back? 104 hiring because they may have a seizure and

42:06 hypothermia induced seizure and it is It's the most common type of seizure

42:11 Children will have. You may have hypothermia induced fibrosis seizure and that's it

42:16 be too because they had significant infection flu or something like that. And

42:21 it. But if you have a along this voltage gated sodium channel now

42:27 susceptible Two seizures. Even if the temperature, let's say goes up to

42:34 , You may experience a seizure and what? You don't have to have

42:38 fever in order for your body temperature go up two degrees. You can

42:43 working out moving in the heat and body temperature may go up because of

42:49 . Of course you have regulation but still have these fluctuations and now you

42:54 abnormal channels and these channels will resolve febrile seizures. And we discussed that

43:01 of the Children and have generalized Annapolis febrile seizures, plus even the hope

43:05 the cold months to return and winter to return as the incidence of seizures

43:12 in the cold months in these So there is an imbalance of excitation

43:17 inhibition on the broad scale that can viewed in epilepsy. Too much

43:22 too little of inhibition typically. And there is not enough inhibition, then

43:28 want to boost Gaba and we want dampen glutamate activity. We target glutamate

43:34 mostly Gaba receptors actually to boost gaba try to balance the scale. If

43:41 is not inhibitory check, that means excitatory maps that we saw that spread

43:47 nicely from the sea to whisker or else that is activated in the

43:52 Those maps get disorganized, They spread over and seizure activity can spread throughout

43:58 entire brain and this is an example generalized seizure where you can see that

44:03 electorate is involved and is experiencing seizure activity in these high frequency fluctuations,

44:11 seizures. You have loss of you have to lama cortical circuits that

44:16 involved in order to lose the consciousness strong connectivity as you saw the

44:21 cortical and cortical thalamic connectivity back as , generalized seizures. A Grand mall

44:27 petite mall. Grand mal seizures will oral loss of consciousness, tonic clonic

44:32 as well as plastic, total Petite mal seizures are more common than

44:37 . Young Children, young teenagers are absence seizures that do not have chronic

44:42 components. So you can use a without having the contractions that you would

44:48 with Grand Mall and those are blind in space sometimes for just eight

44:54 But it could be devastating if the is doing something at that time.

44:59 partial versus complex partial. They do necessarily involve large areas of the

45:05 Uh Simple partial could be usually confined one hot spot. So you would

45:10 see all of the electrodes light up one part of the brain, light

45:13 from the VC electrodes and complex partial have an impaired awareness and not,

45:19 necessarily loss of consciousness is not just , I'm not exactly aware of what

45:24 going on. But I was I conscious and I was awake, you

45:29 , susceptible brain structures to damage by as well as other neurological disorders such

45:34 alzheimer's disease and schizophrenia is hippocampus and york cortex. So when Ramachandran said

45:41 something interesting to allow an angular I think there's something very interesting to

45:45 along in hippocampus, it's trying to a six layer structure. The proper

45:50 . I think that's what's going It's referred to as as our key

45:55 , hippocampus or archaic cortex versus the . The new cortex, in my

46:01 , it's something interesting going on It's also highly susceptible to diseases,

46:06 diseases, highly susceptible to seizures, my neurological diseases and it's at the

46:12 of memory and memory. Recall the memory, not the procedural. So

46:17 can do things, not remember but I would rather remember everything.

46:21 would not be able to do things don't know. So now you have

46:26 example of order onset in the patient usually activation of several electors. And

46:31 you have generalized seizure you will have of these massive parts of the brain

46:37 the folk I the fourth side of focal points that initiates the seizures after

46:45 be neocortex susceptible structures can be the . That means they propagate those seizures

46:51 if they keep occurring in the specific of the brain, those parts of

46:56 brain burn and died in euro literally there's electrical storm that's ongoing.

47:04 Gabba treatments like Benzodiazepines and anything that stimulate inhibition is a very common pharmaceutical

47:12 , glutamate and glee involvement is being at very carefully if you recall glee

47:17 involved in the control of glutamate and when there is enough of inflammation glia

47:23 can become an abnormal release of So you can have a real basis

47:27 epilepsy is it's not necessarily all Oh, glia is also intricately involved

47:32 the synaptic transmission here and then we down to cannabis and cannabinoids because besides

47:39 pharmaceuticals, benzodiazepines, barbiturates, steroids we've discussed. We actually when we

47:45 gaba a receptor transmission, the inhibitor neural transmission, cannabis and cannabinoids have

47:53 used for treatment of epilepsy. We about the endocannabinoid system consisting of synthesizing

48:00 and the cannabinoid molecules. Cannabinoid receptors also degrading in the cannabinoid enzymes.

48:06 CB one receptors that are located predominantly neurons will regulate neural transmission. CV

48:14 actors that are predominantly located on glee specifically a micro glia will control other

48:20 . So what other processes? slower processes may be something to do

48:24 glutamate synthesis maybe in micro glia, know it has to do with a

48:29 of pro inflammatory cytokine release regulation. , so if you activate CB one

48:35 during the economic system, you can excitation and inhibition. You can actually

48:41 both excitation and inhibition and that's why the ages for thousands of years.

48:49 , cannabis and cannabinoids have been used treat epilepsy. So we looked at

48:54 account. The case study from 18 by dr William o'Shaughnessy that described the

49:02 of a young child with spasms which infantile spasms. It's actually childhood epilepsy

49:10 how tight trading the concentration had and fact that both habituation to that concentration

49:16 also on relieving the child from from convulsions that the child was having.

49:23 this is an extract that is taken the plant. This extracts were in

49:30 Pharmacopeia all the way through the middle the 20th century. And US pharmacies

49:37 cannabis extracts at the beginning of the century. Of course there was a

49:40 of other crap in their poisons that being formed and not regulated, but

49:45 was also botanical real extracts that people and prepared carefully. 100 years

49:51 the same exercise became a demand And then the the turn of the

49:55 century, you had a big thrust Children that had no ability to control

50:03 seizures with packs and multiple cocktails of epileptic pharmaceutical seizure medications. They that

50:13 was and said we're going to use Canada stuff that's been written about in

50:18 for centuries. But there was no much research on it. Okay,

50:23 charlotte figi became almost a central her parents army that's moved to colorado

50:30 treated her with CBD and THC to her with seizures and to win her

50:35 other pharmaceuticals. So th seems may a higher effect than Benzodiazepines cause the

50:42 effect. Uh and for a child be experiencing either, it's probably not

50:48 , but maybe there's one that is harmful over the other. So in

50:54 case, by the way, alcohol to gather receptors. Okay, so

51:01 we say drunk, it's because it replicate that similar state when ethanol bonds

51:07 gather receptors. Unfortunately, charlotte has last year. So she was she

51:14 had her seizures under control for a time. She was almost like a

51:18 child for medical cannabis and CBD and and she passed them. But there's

51:25 parents that are using this and there's research that's coming out of these two

51:34 case of solid figure, there's an here, the case of medical marijuana

51:39 epilepsy by her treating physician Edward Ma he illustrated that she needed both THC

51:45 CBD and that's why they moved to because the Chatham colorado had legal THC

51:51 medical use, as long as the will prescribe an overseeing physician agreed to

51:57 . And he demonstrates in this article by raising um THC was necessary and

52:05 raising CBD levels, there is a control of seizures too. So,

52:10 it's different cases for different people that more articles that came out and although

52:16 THC the molecule DELTA nine THC because , you will see a lot of

52:23 right now coming out of delta Delta 10 THC oxide and all of

52:28 . These are synthetic, semi synthetic . Okay. And we don't know

52:32 about it actually, but we know DELTA nine THC was isolated and DELTA

52:38 THC has a lot of therapeutic We don't know what DELTA eight dozen

52:43 fast therapeutic therapeutic effects. And we that synthetic cannabinoids can be dangerous.

52:49 are synthetic phenomenons which DELTA eight it's probably semi dangerous in some

52:55 So we had despite the plant isolated which came from Hashish, which came

53:01 the plant concentrate just like William O'Shaughnessy . Um was it despite that the

53:13 medications that were approved by the FDA synthetic. So I'm not saying the

53:19 in opulence don't have therapeutic properties but is delta nine synthetic, it's not

53:25 it's synthetic Canaveral, delta line synthetic . And it's also not the best

53:32 from patients. They prefer natural derived THC to maternal and settlement. But

53:43 hasn't been a study done because the that study is done and it shows

53:48 planned around THC it's tolerated better by and synthetic DELTA nine THC game over

53:57 for for these for these drugs. yes, you know, treatments for

54:04 conditions inside the plates. two No plans. So it's like a

54:23 you need to decipher it though. , it's not gasses it. But

54:35 joking because when you say abbreviation is difficult to know lateral eyes up to

54:45 the charges. So it's basically it's epilepsy. It's it's chronic epilepsy,

54:51 just maybe a mild form of not severe seizures. But so let's

54:57 at this right now. There's plant medications Sativex when the big smalls and

55:04 the dialects, which is cannabidiol, is only prescribed front asp asthmatic and

55:11 for multiple sclerosis. Sure. Right , Sativex is in clinical trials for

55:18 , wants to Since 2005. It's in UK and maybe 25 different

55:24 but not us. Uh cannabidiol ethnic is 10% CBD solution is anticonvulsant.

55:32 the only pharmaceutical, if you go any like Kelsey Seybold doctor or anybody

55:39 at the medical center to say I the pharmaceutical drug. Every pharmaceutical,

55:47 only plant derived drugs that you see 10% CBD. It's mixed with

55:53 some strawberry flavoring, sesame seed Uh and it is for dR

56:03 So this is for severe seizures. Dravet syndrome is the same as

56:08 My chronic upwards of infancy, Leonard's start epilepsy is is very similar to

56:14 spasms. What DR O'Shaughnessy was studying this extract. So more research,

56:21 more research coming out on how THC CBD can affect different seizures if you

56:28 look at what has been studied And much has been done with a plant

56:34 next year. There's going to be research coming out in the plan because

56:37 federal government approved research on the plan another 11 facilities around the country and

56:44 a bill to approve research for the products directly into the university rather than

56:51 it from the national Institute of drug and their growers that are certified by

56:59 department of D. A. Okay so there's gonna be more research

57:05 holistically now if you took like remember talking about review a systematic review and

57:12 at this THC helping with seizures from and 10% of the cases it can

57:17 broken repulsive in some cases it's What type of apple? It's what

57:26 of mutation is it? The sodium mutation is at least one other channels

57:31 channel that we talked about is that calcium channel mutation that has not been

57:36 and sorted out specifically. And you at all of the data on

57:41 it's clearly anticonvulsants, there's no pro activity that has been reported with CBD

57:49 in some instances obviously people need both well actually th th c and some

58:06 molecules, some other cannabinoids is emerging a sleep aid can happen all CBM

58:12 combination with Benadryl. People use it a sleep aid sometimes too. And

58:18 we discussed this very briefly won't be on it but just so you have

58:21 understanding that there are national programs that is not some sort of a quackery

58:26 on. There is actually a parallel system that's being developed in what I

58:32 an FDA pharmaceutical system on the national in Germany. Canada's assaulted pharmacy subsidized

58:38 insurance in this country. We have state by state and Canada you have

58:44 holistically in the whole country to so me take a brief break here in

58:49 of me that the best way to this. Do you have these lives

58:57 ? So we will we will have basically rely for this portion rely on

59:04 recorded lecture because it would not be for me. I don't have the

59:09 on me now to walk you through slides that I didn't address before.

59:15 did talk about the endocannabinoid system and did talk about different elements in Canada's

59:22 . We talked about these differences between uh low THC cannabis or industrial

59:28 high THC cannabis or marijuana and synthetic , illegal cannabinoids that are synthetic powder

59:36 to extend with with with plant matter these tri cones that produce cannabinoids.

59:45 so we talked about the major dominant and how the plant produces specific versions

59:51 cannabinoids. CBD A. CBD A A. And with Ethan Tarbox elation

59:56 become neutral phenomena list. And this the major CB one receptor. The

60:01 why we want to talk about CB and CB two receptors and you may

60:05 to review those lectures is because it's most abundant G protein coupled receptor in

60:10 brain. So there's something interesting going with C. D. Receptors in

60:14 brain. These three major cannabinoids. of them stem from cdg the mother

60:20 all Cannavino is just three major cannabinoids most prevalent when actually most sold on

60:26 market THC CBD and CBD. They with CB one receptor different with THC

60:33 an agonist. CPG is an antagonist CBD is a negative al hysteric

60:39 which essentially dampens activity, controls the that door opens when it opens

60:45 faster or slower, wider and narrower so on. And the turbines that

60:51 talked about. Olfaction processes of different that are found in Canada's in addition

60:57 different types of cannabinoids. So there's main cannabinoids that we're discussing here,

61:04 there's dozens of cannabinoids that we are discussing. Those functions are not

61:09 they expressed by the planet much lower . And in the future we may

61:14 more about that information. So this some older review but it is still

61:20 from 2017. Again showing this is quackery when the scientists from the the

61:29 Academy of Sciences Engineering and Medicine sat together and said what's going on with

61:34 cannabis in California since 1996 In And then in 2017 they're like,

61:42 actually there is conclusive evidence that the , absolute chronic pain, cannabis,

61:49 cannabis plants moderate evidence for adults and limited evidence and the reason why there

61:55 limited evidence is because pharmaceutical specifically when are developing a drug you're developing a

62:02 for a condition. We are developing dialects for severe pediatric epilepsy is potentially

62:12 epilepsy is that have mutation in the channel. Mhm. You're not developing

62:17 for this and for this and for and for that. But with medical

62:21 and Kennedy noise is different because the are telling us that you can use

62:26 for 100 and 50 different conditions. state regulators decided that in Texas.

62:32 in the state of Texas, if go department of Public safety, state

62:48 control the program and there's laws and and if you look at at qualifying

63:05 , they lead me to another This is one of the users,

63:15 producers. These are the conditions, asbestos, city LS, terminal

63:21 all cancer. Alzheimer's Parkinson's Huntington's post . You want to see this

63:31 There's all of the conditions here. was. Does that mean we have

63:39 on progressive Korea's and prion disease and and CBD or Canada's even we

63:47 So this is just the reality of is happening around us. And I

63:52 everybody to be really super smart taking course and understand it very well so

63:59 you can deal with it on a level and take advantage of it in

64:05 professional level. Okay, so with , we're concluding the review. I'm

64:10 going to review Covid 19. We're out of time, appreciate everyone being

64:14 , appreciate everyone being on zoom. wishing everyone good luck on the test

64:20 Tuesday and good luck with the other that you're taking the finals.

64:26 and hey, we survived the we'll survive on the crown to version

64:35 I'm wishing you everybody a good end their semester. Take care,

64:39

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