Showing posts with label BiomedicalHealth. Show all posts
Showing posts with label BiomedicalHealth. Show all posts

 https://www.newsweek.com/dual-approach-autism-opinion-1818062

To drive true progress and improve the quality of life of all autistics we need BOTH Strengths_based_Opportunities AND Challenges_based_Solutions. 
It is not Either-Or.





#Autism #Research #Strengths_based_opportunities #Challenges_based_solutions.

 https://www.newsweek.com/dual-approach-autism-opinion-1818062

To drive true progress and improve the quality of life of all autistics we need BOTH Strengths_based_Opportunities AND Challenges_based_Solutions. 
It is not Either-Or.





#Autism #Research #Strengths_based_opportunities #Challenges_based_solutions.

 https://www.newsweek.com/dual-approach-autism-opinion-1818062

To drive true progress and improve the quality of life of all autistics we need BOTH Strengths_based_Opportunities AND Challenges_based_Solutions. 
It is not Either-Or.




#Autism #Research #Strengths_based_opportunities #Challenges_based_solutions.

Dispel notion that any medical intervention is inherently harmful


To drive true progress and improve the quality of life of all autistics we need BOTH Strengths_based_Opportunities AND Challenges_based_Solutions. 
It is not Either-Or.





#Autism #Research #Strengths_based_opportunities #Challenges_based_solutions.


 https://www.newsweek.com/dual-approach-autism-opinion-1818062

To drive true progress and improve the quality of life of all autistics we need BOTH Strengths_based_Opportunities AND Challenges_based_Solutions. 
It is not Either-Or.






#Autism #Research #Strengths_based_opportunities #Challenges_based_solutions.

Diagnostic Overshadowing Issue in Autism


To drive true progress and improve the quality of life of all autistics we need BOTH Strengths_based_Opportunities AND Challenges_based_Solutions. 
It is not Either-Or.





#Autism #Research #Strengths_based_opportunities #Challenges_based_solutions.


 

Dual Approach for Autism

My article in Newsweek 

https://www.newsweek.com/dual-approach-autism-opinion-1818062

To drive true progress and improve the quality of life of all autistics we need BOTH Strengths_based_Opportunities AND Challenges_based_Solutions. 
It is not Either-Or.





#Autism #Research #Strengths_based_opportunities #Challenges_based_solutions.

Finding the actual cause

 https://www.washingtonpost.com/wellness/2023/06/01/schizophrenia-autoimmune-lupus-psychiatry/

YES. I believe there are parallels for autism. There is probably some other physiological stuff going on that is causing all the SIB, meltdown and even struggles with talking ability which fluctuate on a day to day basis - all stuff which what makes or breaks your inclusion in society and gatekeeps opportunities. I bet after a few decades when I am a very old man, i will find out that what I had was some INFLAMMATORY PROCESS that and treatable as a baby itself and I could have had a better quality of life instead of struggles, exclusion and rejections at every step. 

New research suggests that a subset of patients with psychiatric conditions such as schizophrenia may actually have autoimmune disease that attacks the brain

Markx and his colleagues discovered that although April’s illness was clinically indistinguishable from schizophrenia, she also had lupus, an underlying and treatable autoimmune condition that was attacking her brain.

... a complex autoimmune disorder where the immune system turns on its own body, producing many antibodies that attack the skin, joints, kidneys or other organs. But April’s symptoms weren’t typical, and there were no obvious external signs of the disease; the lupus appeared to only be affecting her brain.

After months of targeted treatments — and more than two decades trapped in her mind — April woke up.

ERGO: underlying autoimmune and inflammatory processes may be more common in patients with a variety of psychiatric syndromes than previously believed.

undergone many courses of treatment — antipsychoticsmood stabilizers and electroconvulsive therapy — all to no avail.

Discussion on Epilepsy in Autism

 


https://brainfoundation.org/empowering-voices-epilepsy-in-autism/

on 6/2/23. 

Registration https://us06web.zoom.us/webinar/register/WN_Y_T4XhL8SqazIsqfkg4AjA#/registration


Catatonia

Catatonia in autistics refers to pronounced motor difficulties, such as immobility, rigid posture, repetitive or unusual movements, and a decreased responsiveness to the environment.

Catatonia can manifest in different ways in autistics, including mutism (inability to speak), echolalia (repeating words or phrases), stereotypic movements (repetitive movements), posturing (assuming and maintaining unusual body positions), and stupor (a state of unresponsiveness).


Rihar et al 2023


This research article discusses the use of gene burden analysis to identify potentially pathogenic variants for autism. The study used whole exome sequencing data of Slovenian autistics and conducted gene burden analysis using the Testing Rare Variants with Public Data (TRAPD) software. The study identified two variants, p.Glu198Lys and p.Arg253Gln, associated with autism. The study also performed protein structure and ligand binding analysis to determine the potential pathogenic consequence of observed mutations. The results suggest that gene-burden analysis is a useful tool for identifying novel pathogenic variants in groups of autistics.

Autism and GI Issues

There is a strong link between gastrointestinal (GI) issues and autism. Studies have shown that up to 90% of people with ASD have some type of GI problem, compared to about 20% of the general population. The most common GI problems seen in autism are constipation, diarrhea, abdominal pain, bloating, gas, vomiting, reflux, IBD, Celiac disease, food allergies and food intolerance. 

There are a number of possible explanations for the link between GI issues and ASD. One possibility is  an increased sensitivity to certain foods or food additives. Another possibility is an imbalance of gut bacteria, which can lead to GI problems. Additionally, autistics may have difficulty communicating their GI symptoms, which can make it difficult to diagnose and treat these problems.

April 18 is Regressive Autism Day


Regressive autism / late-onset autism /acquired autism, is where a child develops typically in early childhood meeting all developmental milestones, but then experiences a loss of previously acquired skills, at around 1.5 years to 4 years. Estimates of regressive autism range from 30 - 44% of kids who get diagnosed with autism in childhood. (1,2,3)

This loss/regression is especially evident in the areas of social communication and interaction; such as loss of interest in social interaction, loss of eye contact, loss of spoken language, loss of motor skills and the development of repetitive behaviors. 

For instance, I met all my developmental milestones till 1.5 years, including the ability to able to speak short phrases. I was the happy social butterfly at my first birthday party; I interacted with everyone at the party. I pointed to the distant bird sitting on a tree and engaged in joint attention activities. 

But after my regression at 16-18 months, I lost a majority of the previous skills. By age 2, I lost the ability to talk, the ability to make eye contact, the ability to point, the ability to do a pincer grasp and the ability to hold a spoon. I no longer recognized even my parents. I hid under the table, walked on tiptoe, endlessly spun the wheels on my tricycle and lined up every toy in the house. I was in a confused and dazed state and cried most of the time in daycare. I fussed for eating and sleeping. 

This week, we had studied Alzheimers in my Cell Neuroscience class. In addition to understanding brain function, we had also watched videos of lived experiences. For the folks with Alzheimer's its like their world associations just fade away, they no longer recognize even family members in addition to loss of functioning skills and even language. Ergo, there is a massive regression. There is now a desperate search for research into solutions to reverse this process.

DEJA VU!! - Regressive Autism is like Alzheimers in toddlerhood itself where you forget even your family, instead of in old age. Something must have happened to cause this memory loss and this functioning loss. I can understand why parents of young children find this heartbreaking; they suddenly become strangers for own children. 

Why is there not equal importance given to find causes and ways to stop this massive slide seen in regressive autism during toddlerhood, why is loss of skills only seen as a problem if it happens in adulthood?

The Autism - Parkinson's Connection

Research has found some evidence of a potential link between autism and Parkinson and that autistics are at higher risk for PD as they age. 

No surprise really as many autistics (like me) already have many movement-disorder-like movements, which really impacts our everyday functioning and which currently gets lost in the world of Autism dx overshadowing where everything is attributed to "autism" so nothing more need be done. 

Urgent need for research and translatable solutions

The Autism Alzheimers Connection.

Alzeheimers and Oxidative Stress was the topic of study at my cell neuroscience course. 

Increasingly research is showing a link between Autism and Alzheimer's though they had been considered distinct neurological disorders in the past.

The point
This is a serious area of concern that needs to be looked at even more closely as the ever increasing numbers of autistic children (currently at 1:36) will soon join the ranks aging autistic seniors.


April 13 is Autism Adolescence Day

Recognizing the transitions that come with adolescence in autism, along with the current inadequacy of needed supports, care and services. Translatable solutions are needed now. 


April 13 is Autism Adolescence Day
Because being a teenager isn't hard enough already

Compared to Neurotypical Teens, Autistic teens face greater challenges in 

Social Front. 
  • Social Isolation/Loneliness, Social Difficulties, fewer friendships/social contacts, lesser time spent on social activities (1,2,3)
  • Mental health, suicide ideation  and NSSI 
  • Bullying and victimization
  • Navigating educational system & workplace due to social and communication difficulties
Health Issues. 
  • Seizure onset  15%  (compared to 0.5 - 1% in general population) (4). 
    • Higher prevalence of atypical or non-convulsive seizures in autistic teens compared to non-autistic (5). 
    • Increased prevalence of epilepsy in autistic teens  (11.4%) compared to 0.5% in general population (6).
  • Sleep disturbance at 50-80%- insomnia, nightmares, and irregular sleep-wake cycles (7).
  • Sensory sensitivities at 88% (non-autistic teens 58%) (8). 
  • GI symptoms in autistic kids compared to non-autistic kids. In a 2014 study (9) figures are 43.5% compared to 18.1%. In a  2010 study (10), figures are 46-85% compared to 9-10%). Which means the prevalence is higher in autistic teens as well. 'Autistic teenagers at increased risk for anxiety, depression, and other mental health conditions.
  • Co-occuring condition in 70% of autistics -  anxiety disorders 41%,  ADHD 31% & mood disorders 16% (11).
  • Nuero-inflammatory markers in autistic teens
  • Obesity 22.4% (general population 15.6%) (14)
  • Asthma 22.2% (general population 12.8%) (15) 
  • Allergies  23.9% (general population 18.4%) (16)

Maffei et al 2023: Oromotor skills in Autism


Based on review of research published between 1994 and 2022 on oromotor functioning in autistic individuals, 

key takeaways: 
  • Oromotor functioning plays a foundational role in spoken communication and feeding.
  • 81% of included 107 studies report a significant oromotor challenges related to speech production, nonspeech oromotor skills, or feeding 
  • Studies used various methods to investigate oromotor functioning in autistics
    • Behavioral measures -  tasks such as tongue protrusion, lip closure, and oral diadochokinesis. 
    • Parent report measures - questionnaires and interviews. 
    • Medical record review - examining medical records for information on feeding / swallowing difficulties. 
    • Neuroimaging techniques -  fMRI & MEG.
  • The findings suggest that oromotor challenges are common in autistics, but more research is needed to better understand the nature / extent and their impact on communication and feeding.
Some limitations of this paper include
  • numerous inclusion and exclusion criteria, which may have excluded relevant studies eg: non-English publications, pre 1994 studies etc
  • wide variation in studies re sample characteristics, behaviors analyzed, and research methodology, which makes it difficult to draw definitive conclusions. 
  • did not include a meta-analysis, which would have allowed for a quantitative synthesis of the findings across studies. 

Maffei MF, Chenausky KV, Gill SV, Tager-Flusberg H, Green JR. Oromotor skills in autism spectrum disorder: A scoping review. Autism Res. 2023 Apr 3. doi: 10.1002/aur.2923. Epub ahead of print. PMID: 37010327.

Autism and Movement Disorders

There has been research exploring the link between autism and movement disorders, particularly with regards to motor coordination and control. Some examples
  • A 2013 study found that autistic children had difficulties with motor planning and control, particularly in tasks that required them to plan and execute a sequence of movements.
  • A 2011 study autistic children had more severe motor impairments also had more severe social communication deficits.
  • A 2010 study looked found autistics had poorer motor coordination and control (as well as more difficulty with tasks that required fine motor skills, such as writing and drawing) ; compared to non-autistic controls (3).
  • A 2003 study looked at prevalence and found autistics were more likely to have motor coordination difficulties than non-autistics, suggesting a potential link between autism and movement disorders.(4)
  • A 2000 study found autistic children with autism had deficits in both motor control and executive function (compared to non-autistic controls), suggesting that the two may be related (5).
While such studies provide some evidence of a link between autism and movement disorders, more research is needed to fully understand the relationship and potential implications for diagnosis and treatment.

The Point: This is an area of need for answers and translatable solutions

Propananol

Propanaol has come up in lectures in my Cell Neuroscience course this sem. Of personal interest to me, as its use has become prevalent in the autism population. My last set of docs at Stanford said they preferred its use as it has less side effects compared to other drugs.  I have mixed feelings about it effectiveness in my case but I've heard its helping a number of other autistics.

The use of Propranolol (brand names - Inderal, Hemangeol, & InnoPran XL) in autism is actually off-label as some research has suggested that propranolol may be helpful with anxiety, social withdrawal and repetitive behaviors. More research is needed to fully understand its effectiveness in autism.

Some common side effects of propranolol include fatigue, dizziness, cold hands and feet, slow heartbeat, and trouble sleeping. More serious side effects include wheezing, depression, and liver problems.

One concerning side effect is memory impairmentSo I have to wonder about its long term impact as we age, as many autistics are on it for many years and years. Are we looking at short term gains and compromising our long term health compounding health issues that already accompany old age. 

Benzodiazepines and Barbiturates



Benzodiazepines

In class today, we studied pharmacology of GABA-A receptors, specifically Benzodiazepine's. Of personal interest as I've been on lorazepam (fast acting for agitation, mood swings) and clonazepam (longer lasting). Unfortunately the body develops a tolerance and these don't work anymore.