Showing posts with label brains. Show all posts
Showing posts with label brains. Show all posts

Sunday, April 18, 2010

Why We Can't Do 3 Things at Once

Jumat, 16 April 2010
AFP
A graphic released by the University of Liege shows brain scan results of a recent study on brain activity in disorders of consciousness. The image depicts the brain activity of a healthy subject and a patient in a coma answering questions.

KOMPAS.com - For those who find it tough to juggle more than a couple things at once, don't despair. The brain is set up to manage two tasks, but not more, a new study suggests.

That's because, when faced with two tasks, a part of the brain known as the medial prefrontal cortex (MFC) divides so that half of the region focuses on one task and the other half on the other task. This division of labor allows a person to keep track of two tasks pretty readily, but if you throw in a third, things get a bit muddled.

"What really the results show is that we can readily divide tasking. We can cook, and at the same time talk on the phone, and switch back and forth between these two activities," said study researcher Etienne Koechlin of the Universite Pierre et Marie Curie in Paris, France. "However, we cannot multitask with more than two tasks."

The results will be published this week in the journal Science.

Multitasking in the brain

The MFC is thought to be part of the brain's "motivational system." Specifically, it helps monitor the value of rewards and drives a person's behavior according to that value. In other words, it's where rewards are represented in the brain.

Scientists knew that a region at the very front of the brain, called the anterior prefrontal cortex (APC), was involved in multitasking. But they weren't sure how the MFC was involved. Are the rewards for the different tasks represented separately? Or summed together?

Koechlin and his colleagues had 32 subjects complete a letter-matching task while they had their brains scanned with functional magnetic resonance imagining (fMRI). The subjects saw uppercase letters on a screen and had to determine whether those letters were presented in the correct order to spell out a certain word. They were given money if they performed the task with no errors.

The researchers saw that, the higher the monetary reward, the more activity there was in the MFC.

But then they made the task more difficult. In addition to uppercase letters, the subjects were also presented with lowercase letters, and had to switch back and forth between matching the uppercase letters to spell out, say, T-A-B-L-E-T, and lowercase letters to spell out t-a-b-l-e-t.

During this duel task, the MFC divided up the labor. One hemisphere of the brain encoded the reward associated with the uppercase letter task, and so showed activity during that task, while the other region encoded the reward associated with the lowercase task, Koechlin said.

Essentially, the brain behaved "as if each frontal lobe was pursuing its own goal," Koechlin said.

To make things even more complicated, the researchers introduced a third letter-matching task. Here, they saw the subject's accuracy drop considerably. It was as though, once each hemisphere was occupied with managing one task, there was nowhere for the third task to go.

"[The] subjects perform as if they systematically forget one of the three tasks," Koechlin told LiveScience.

Decision-making

The results might also explain why humans seem to have a hard time making decisions between more than two things, Koechlin said.

Previous work has indicated that people like binary choices, or decisions between two things. They have difficultly when decisions involve more than two choices, Koechlin said. When faced with three or more choices, subjects don't appear to evaluate them rationally; they simply start discarding choices until they get back to a binary choice.

This is perhaps because your brain can't keep track of the rewards involved with more than two choices, Koechlin said.

source: kompas.com

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Wednesday, February 3, 2010

Study: Vegetative Brains Show Signs of Awareness

Kamis, 4 Februari 2010
AFP
A graphic released by the University of Liege shows brain scan results of a recent study on brain activity in disorders of consciousness. The image depicts the brain activity of a healthy subject and a patient in a coma answering questions.
By MALCOLM RITTER

NEW YORK, KOMPAS.com – Scientists have detected glimmers of awareness in some vegetative brain-injury patients and have even communicated with one of them — findings that push the boundaries of how to assess and care for such people.

The new research suggests that standard tests may overlook patients who have some consciousness, and that someday some kind of communication may be possible.

In the strongest example, a 29-year-old patient was able to answer yes-or-no questions by visualizing specific scenes the doctors asked him to imagine. The two visualizations sparked different brain activity viewed through a scanning machine.

"We were stunned when this happened," said one study author, Martin Monti of Medical Research Council Cognitive and Brain Sciences Unit in Cambridge, England. "I find it literally amazing. This was a patient who was believed to be vegetative for five years."

Ever since a research paper four years ago showed apparent signs of awareness in a vegetative patient — one who was included in the new study — families of patients have been clamoring for brain scans, said Dr. James Bernat of Dartmouth Medical School, a spokesman for the American Academy of Neurology.

In fact, a spokeswoman for a patient advocacy group said the organization will urge families to ask about the type of brain imaging used by the researchers.

But experts said more study is needed before the specialized brain scans could be used routinely. "It's still a research tool," Bernat said.

Experts also emphasized that only a few tested patients showed evidence of awareness. And they said it is not clear what degree of consciousness and mental abilities the signs imply.

They also noted that the positive signals appeared only in people with traumatic brain injury — not in patients whose brains had been deprived of oxygen, as can happen when the heart stops. Terri Schiavo, the vegetative woman at the center of a national controversy before her feeding tube was removed and she was allowed to die in 2005, suffered oxygen deprivation.

The new work, published online Wednesday by the New England Journal of Medicine, came from researchers in Britain and Belgium. One author is Dr. Steven Laureys at the University of Liege in Belgium.

He made headlines in November by showing awareness in Rom Houben, a 46-year-old man who had been diagnosed as being vegetative for 23 years. (Houben was excluded from the new study because he could not keep his head still enough in the brain scanner to produce a usable scan; his awareness was revealed by bedside behavioral tests).

The new study used brain scanning called functional MRI, or fMRI, for 23 patients in a vegetative state and 31 diagnosed as minimally conscious.

Patients are diagnosed as being in a vegetative state if they are tested and found unable to do such things as move on command or follow a moving object with their eyes. (Their eyes are open; in contrast, comatose people's eyes are closed.) Minimally conscious patients show signs of awareness, but they are minimal and intermittent.

While in the fMRI scanner, the patients were asked to imagine two situations. One was that they were standing on a tennis court, hitting a ball to an instructor; the other was that they were navigating familiar streets or walking from room to room in their homes. The two tasks produce different patterns of brain activity in healthy people.

The study found those patterns appeared in five patients when they were asked to imagine the scenes. Four of those patients had been diagnosed as vegetative.

"It just says how much we can learn from looking directly at somebody's brain," Monti said.

But he said the results cannot be taken to indicate how commonly a vegetative brain holds hidden signs of awareness. And the findings certainly don't mean all vegetative patients have that capacity, he said.

The 29-year-old, who had been injured in a traffic accident, was asked simple questions about his life, such as "Is your father's name Alexander?" He was told to answer "yes" or "no" by thinking about one or the other of the imagined scenes about playing tennis or navigating streets or his home. For five of the six questions, his brain activity matched the correct answer.

Monti and Laureys said it is not clear whether such patients have the mental capacity to answer more important but complicated questions, such as whether they wish to go on living.

"I'm trying to figure out what is the best way to tackle this," Laureys said.

Laureys also said fMRI technology isn't practical for routine assessments of vegetative patients or for enabling communication. So he is working to develop a more portable and less expensive approach based on sampling brain waves.

Now that communication has been demonstrated, it brings an urgency to finding ways to capitalize on that ability, said Dr. Nicholas Schiff at New York-Presbyterian Hospital/Weill Cornell Medical Center. Schiff is collaborating with Laureys and others on such research.

Some experts, like Dr. Ross Zafonte of Harvard Medical School, who was not involved in the study, said the brain patterns also don't reveal anything about whether patients have retained significant memory and other important mental abilities.

"But it's provocative and exciting because this is a cohort of people that everybody had given up on, and now there's reason to say ... there might be something there to manipulate," he said.

Maybe brain scans could identify patients with a better chance than others to improve with specialized treatment, he said.

Susan Connors, president and CEO of the Brain Injury Association of America, an advocacy group, said the study means there's hope for people with brain injury.

She said her group will now add fMRI testing to the list of things they recommend families ask about after a serious brain injury.

Connors said some people might want to use such brain scans to help them decide whether to keep a loved one with a brain injury alive. But that shouldn't be the deciding factor, she said, adding that families are still going to have to rely on the person's wishes, religious and cultural beliefs and medical advice.

"This is going to give us more information, but it's not going to give us the final answer," she said.


source: kompas.com

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