Chapter 7. Life-Span Development of the Brain and Behavior
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An experimental gene therapy reduces the rate at which nerve cells in the brains of Alzheimer’s patients degenerate and die, according to new results from a small clinical trial, published in the current issue of the journal JAMA Neurology. Targeted injection of the Nerve Growth Factor gene into the patients’ brains rescued dying cells around the injection site, enhancing their growth and inducing them to sprout new fibres. In some cases, these beneficial effects persisted for 10 years after the therapy was first delivered. Alzheimer’s is the world’s leading form of dementia, affecting an estimated 47 million people worldwide. This figure is predicted to almost double every 20 years, with much of this increase is likely to be in the developing world. And despite the huge amounts of time, effort, and money devoted to developing an effective cure, the vast majority of new drugs have failed in clinical trials. The new results are preliminary findings from the very first human trials designed to test the potential benefits of nerve growth factor (NGF) gene therapy for Alzheimer’s patients. NGF was discovered in the 1940s by Rita Levi-Montalcini, who convincingly demonstrated that the small protein promotes the survival of certain sub-types of sensory neurons during development of the nervous system. Since then, others have shown that it also promotes the survival of acetylcholine-producing cells in the basal forebrain, which die off in Alzheimer’s. © 2015 Guardian News and Media Limited
By Dina Fine Maron Whenever the fictional character Popeye the Sailor Man managed to down a can of spinach, the results were almost instantaneous: he gained superhuman strength. Devouring any solid object similarly did the trick for one of the X-Men. As we age and begin to struggle with memory problems, many of us would love to reach for an edible mental fix. Sadly, such supernatural effects remain fantastical. Yet making the right food choices may well yield more modest gains. A growing body of evidence suggests that adopting the Mediterranean diet, or one much like it, can help slow memory loss as people age. The diet's hallmarks include lots of fruits and vegetables and whole grains (as opposed to ultrarefined ones) and a moderate intake of fish, poultry and red wine. Dining mainly on single ingredients, such as pumpkin seeds or blueberries, however, will not do the trick. What is more, this diet approach appears to reap brain benefits even when adopted later in life—sometimes aiding cognition in as little as two years. “You will not be Superman or Superwoman,” says Miguel A. Martínez González, chair of the department of preventive medicine at the University of Navarra in Barcelona. “You can keep your cognitive abilities or even improve them slightly, but diet is not magic.” Those small gains, however, can be meaningful in day-to-day life. Scientists long believed that altering diet could not improve memory. But evidence to the contrary started to emerge about 10 years ago. © 2015 Scientific American
Link ID: 21350 - Posted: 08.28.2015
By Emily Underwood It is famous for robbing Lou Gehrig of his life and Stephen Hawking of his mobility and voice, but just how amyotrophic lateral sclerosis (ALS) destroys motor neurons in the brain and spinal cord remains a mystery. Now, scientists are converging on an explanation, at least for a fraction of the ALS cases caused by a specific mutation. In cells with the mutation, the new work shows, pores in the membrane separating the nucleus and cytoplasm become clogged, preventing vital molecules from passing through and creating a fatal cellular traffic jam. For now, the work applies only to the mutation dubbed C9orf72—a DNA stutter in which a short nucleotide sequence, GGGGCC, is repeated hundreds to thousands of times in a gene on chromosome 9. Nor do the multiple labs reporting results this week agree on exactly what plugs those nuclear pores and how the cells die. Still, the work is “a major breakthrough” in ALS research, says Amelie Gubitz, program director of the neurodegeneration division at the National Institute of Neurological Disorders in Bethesda, Maryland. The groups worked independently, starting with different hypotheses and experimental designs, yet reached similar conclusions, making the finding more convincing. And it suggests that boosting traffic through nuclear pores could be a new strategy for treating some cases of ALS and frontotemporal dementia (FTD), another neurodegenerative condition C9orf72 can cause. Based on past work by their own and other groups, neuroscientists Jeff Rothstein and Tom Lloyd at Johns Hopkins University in Baltimore, Maryland, suspected that the long strands of excess RNA produced by C9orf72 cause neurodegeneration by binding to, and thus sequestering, key cellular proteins. The team tested the idea in fruit flies with the mutation, which display damage in the nerve cells of their eyes and in motor neurons. © 2015 American Association for the Advancement of Science
By Elizabeth Kolbert C57BL/6J mice are black, with pink ears and long pink tails. Inbred for the purposes of experimentation, they exhibit a number of infelicitous traits, including a susceptibility to obesity, a taste for morphine, and a tendency to nibble off their cage mates’ hair. They’re also tipplers. Given access to ethanol, C57BL/6J mice routinely suck away until the point that, were they to get behind the wheel of a Stuart Little-size roadster, they’d get pulled over for D.U.I. Not long ago, a team of researchers at Temple University decided to take advantage of C57BL/6Js’ bad habits to test a hunch. They gathered eighty-six mice and placed them in Plexiglas cages, either singly or in groups of three. Then they spiked the water with ethanol and videotaped the results. Half of the test mice were four weeks old, which, in murine terms, qualifies them as adolescents. The other half were twelve-week-old adults. When the researchers watched the videos, they found that the youngsters had, on average, outdrunk their elders. More striking still was the pattern of consumption. Young male C57BL/6Js who were alone drank roughly the same amount as adult males. But adolescent males with cage mates went on a bender; they spent, on average, twice as much time drinking as solo boy mice and about thirty per cent more time than solo girls. The researchers published the results in the journal Developmental Science. In their paper, they noted that it was “not possible” to conduct a similar study on human adolescents, owing to the obvious ethical concerns. But, of course, similar experiments are performed all the time, under far less controlled circumstances. Just ask any college dean. Or ask a teen-ager.
While some research suggests that a diet high in omega-3 fatty acids can protect brain health, a large clinical trial by researchers at the National Institutes of Health found that omega-3 supplements did not slow cognitive decline in older persons. With 4,000 patients followed over a five-year period, the study is one of the largest and longest of its kind. It was published today in the Journal of the American Medical Association. “Contrary to popular belief, we didn’t see any benefit of omega-3 supplements for stopping cognitive decline,” said Emily Chew, M.D., . Dr. Chew leads the Age-Related Eye Disease Study (AREDS), which was designed to investigate a combination of nutritional supplements for slowing age-related macular degeneration (AMD), a major cause of vision loss among older Americans. That study established that daily high doses of certain antioxidants and minerals — called the AREDS formulation — can help slow the progression to advanced AMD. A later study, called AREDS2, tested the addition of omega-3 fatty acids to the AREDS formula. But the omega-3’s made no difference. Omega-3 fatty acids are made by marine algae and are concentrated in fish oils; they are believed to be responsible for the health benefits associated with regularly eating fish, such as salmon, tuna, and halibut.*Where studies have surveyed people on their dietary habits and health, they’ve found that regular consumption of fish is associated with lower rates of AMD, cardiovascular disease, and possibly dementia. “We’ve seen data that eating foods with omega-3 may have a benefit for eye, brain, and heart health,” Dr. Chew explained.
Link ID: 21340 - Posted: 08.26.2015
Helen Thomson Genetic changes stemming from the trauma suffered by Holocaust survivors are capable of being passed on to their children, the clearest sign yet that one person’s life experience can affect subsequent generations. The conclusion from a research team at New York’s Mount Sinai hospital led by Rachel Yehuda stems from the genetic study of 32 Jewish men and women who had either been interned in a Nazi concentration camp, witnessed or experienced torture or who had had to hide during the second world war. They also analysed the genes of their children, who are known to have increased likelihood of stress disorders, and compared the results with Jewish families who were living outside of Europe during the war. “The gene changes in the children could only be attributed to Holocaust exposure in the parents,” said Yehuda. Her team’s work is the clearest example in humans of the transmission of trauma to a child via what is called “epigenetic inheritance” - the idea that environmental influences such as smoking, diet and stress can affect the genes of your children and possibly even grandchildren. The idea is controversial, as scientific convention states that genes contained in DNA are the only way to transmit biological information between generations. However, our genes are modified by the environment all the time, through chemical tags that attach themselves to our DNA, switching genes on and off. Recent studies suggest that some of these tags might somehow be passed through generations, meaning our environment could have and impact on our children’s health. © 2015 Guardian News and Media Limited
Almost fully-formed brain grown in a lab. Woah: Scientists grow first nearly fully-formed human brain. Boffins raise five-week-old fetal human brain in the lab for experimentation. On Tuesday, all the above appeared as headlines for one particular story. What was it all about? Mini-brains 3 to 4 millimetres across have been grown in the lab before, but if a larger brain had been created – and the press release publicising the claim said it was the size of a pencil eraser – that would be a major breakthrough. New Scientist investigated the claims. The announcement was made by Rene Anand, a neuroscientist at Ohio State University in Columbus, at a military health research meeting in Florida. Anand says he has grown a brain – complete with a cortex, midbrain and brainstem – in a dish, comparable in maturity to that of a fetus aged 5 weeks. Anand and his colleague Susan McKay started with human skin cells, which they turned into induced pluripotent stem cells (iPSCs) using a tried-and-tested method. By applying an undisclosed technique, one that a patent has been applied for, the pair say they were able to encourage these stem cells to form a brain. “We are replicating normal development,” says Anand. He says they hope to be able to create miniature models of brains experiencing a range of diseases, such as Parkinson’s and Alzheimer’s. Inconclusive evidence But not everyone is convinced, especially as Anand hasn’t published his results. Scientists we sent Anand’s poster presentation to said that although the team has indeed grown some kind of miniature collection of cells, or “organoid”, in a dish, the structure isn’t much like a fetal brain. © Copyright Reed Business Information Ltd.
Keyword: Development of the Brain
Link ID: 21322 - Posted: 08.22.2015
Tina Hesman Saey Researchers have discovered a “genetic switch” that determines whether people will burn extra calories or save them as fat. A genetic variant tightly linked to obesity causes fat-producing cells to become energy-storing white fat cells instead of energy-burning beige fat, researchers report online August 19 in the New England Journal of Medicine. Previously scientists thought that the variant, in a gene known as FTO (originally called fatso), worked in the brain to increase appetite. The new work shows that the FTO gene itself has nothing to do with obesity, says coauthor Manolis Kellis, a computational biologist at MIT and the Broad Institute. But the work may point to a new way to control body fat. In humans and many other organisms, genes are interrupted by stretches of DNA known as introns. Kellis and Melina Claussnitzer of Harvard Medical School and colleagues discovered that a genetic variant linked to increased risk of obesity affects one of the introns in the FTO gene. It does not change the protein produced from the FTO gene or change the gene’s activity. Instead, the variant doubles the activity of two genes, IRX3 and IRX5, which are involved in determining which kind of fat cells will be produced. FTO’s intron is an enhancer, a stretch of DNA needed to control activity of far-away genes, the researchers discovered. Normally, a protein called ARID5B squats on the enhancer and prevents it from dialing up activity of the fat-determining genes. In fat cells of people who have the obesity-risk variant, ARID5B can’t do its job and the IRX genes crank up production of energy-storing white fat. © Society for Science & the Public 2000 - 2015.
Helen Thomson An almost fully-formed human brain has been grown in a lab for the first time, claim scientists from Ohio State University. The team behind the feat hope the brain could transform our understanding of neurological disease. Though not conscious the miniature brain, which resembles that of a five-week-old foetus, could potentially be useful for scientists who want to study the progression of developmental diseases. It could also be used to test drugs for conditions such as Alzheimer’s and Parkinson’s, since the regions they affect are in place during an early stage of brain development. The brain, which is about the size of a pencil eraser, is engineered from adult human skin cells and is the most complete human brain model yet developed, claimed Rene Anand of Ohio State University, Columbus, who presented the work today at the Military Health System Research Symposium in Fort Lauderdale, Florida. Previous attempts at growing whole brains have at best achieved mini-organs that resemble those of nine-week-old foetuses, although these “cerebral organoids” were not complete and only contained certain aspects of the brain. “We have grown the entire brain from the get-go,” said Anand. Anand and his colleagues claim to have reproduced 99% of the brain’s diverse cell types and genes. They say their brain also contains a spinal cord, signalling circuitry and even a retina. The ethical concerns were non-existent, said Anand. “We don’t have any sensory stimuli entering the brain. This brain is not thinking in any way.” © 2015 Guardian News and Media Limited
Keyword: Development of the Brain
Link ID: 21316 - Posted: 08.19.2015
—By Chris Mooney It is still considered highly uncool to ascribe a person's political beliefs, even in part, to that person's biology: hormones, physiological responses, even brain structures and genes. And no wonder: Doing so raises all kinds of thorny, non-PC issues involving free will, determinism, toleration, and much else. There's just one problem: Published scientific research keeps going there, with ever increasing audacity (not to mention growing stacks of data). The past two weeks have seen not one but two studies published in scientific journals on the biological underpinnings of political ideology. And these studies go straight at the role of genes and the brain in shaping our views, and even our votes. First, in the American Journal of Political Science, a team of researchers including Peter Hatemi of Penn State University and Rose McDermott of Brown University studied the relationship between our deep-seated tendencies to experience fear—tendencies that vary from person to person, partly for reasons that seem rooted in our genes—and our political beliefs. What they found is that people who have more fearful disposition also tend to be more politically conservative, and less tolerant of immigrants and people of races different from their own. As McDermott carefully emphasizes, that does not mean that every conservative has a high fear disposition. "It's not that conservative people are more fearful, it's that fearful people are more conservative," as she puts it. I interviewed the paper's lead author, Peter Hatemi, about his research for my 2012 book The Republican Brain. Hatemi is both a political scientist and also a microbiologist, and as he stressed to me, "nothing is all genes, or all environment." These forces combine to make us who we are, in incredibly intricate ways. ©2015 Mother Jones
Helen Thomson Serious mood disorders such as bipolar may be the price humans have had to pay for our intelligence and creativity. That’s according to new research which links high childhood IQ to an increased risk of experiencing manic bipolar traits in later life. Researchers examined data from a large birth cohort to identify the IQ of 1,881 individuals at age eight. These same individuals were then assessed for manic traits at the age of 22 or 23. The statements they provided were part of a checklist widely used to diagnose bipolar disorder. Each person was given a score out of 100 related to how many manic traits they had previously experienced. Individuals who scored in the top 10% of manic features had a childhood IQ almost 10 points higher than those who scored in the lowest 10%. This correlation appeared strongest for those with high verbal IQ. “Our study offers a possible explanation for how bipolar disorder may have been selected through generations,” said Daniel Smith of the University of Glasgow , who led the study. “There is something about the genetics underlying the disorder that are advantageous. One possibility is that serious disorders of mood - such as bipolar disorder - are the price that human beings have had to pay for more adaptive traits such as intelligence, creativity and verbal proficiency.” Smith emphasises that as things stand, having a high IQ is only an advantage: “A high IQ is not a clear-cut risk factor for bipolar, but perhaps the genes that confer intelligence can get expressed as illness in the context of other risk factors, such as exposure to maternal influenza in the womb or childhood sexual abuse.” © 2015 Guardian News and Media Limited
By Perri Klass, A little more than a year ago, the American Academy of Pediatrics issued a policy statement saying that all pediatric primary care should include literacy promotion, starting at birth. That means pediatricians taking care of infants and toddlers should routinely be advising parents about how important it is to read to even very young children. The policy statement, which I wrote with Dr. Pamela C. High, included a review of the extensive research on the links between growing up with books and reading aloud, and later language development and school success. But while we know that reading to a young child is associated with good outcomes, there is only limited understanding of what the mechanism might be. Two new studies examine the unexpectedly complex interactions that happen when you put a small child on your lap and open a picture book. This month, the journal Pediatrics published a study that used functional magnetic resonance imaging to study brain activity in 3-to 5-year-old children as they listened to age-appropriate stories. The researchers found differences in brain activation according to how much the children had been read to at home. Children whose parents reported more reading at home and more books in the home showed significantly greater activation of brain areas in a region of the left hemisphere called the parietal-temporal-occipital association cortex. This brain area is “a watershed region, all about multisensory integration, integrating sound and then visual stimulation,” said the lead author, Dr. John S. Hutton, a clinical research fellow at Cincinnati Children’s Hospital Medical Center. This region of the brain is known to be very active when older children read to themselves, but Dr. Hutton notes that it also lights up when younger children are hearing stories. What was especially novel was that children who were exposed to more books and home reading showed significantly more activity in the areas of the brain that process visual association, even though the child was in the scanner just listening to a story and could not see any pictures. © 2015 The New York Times Company
Every brain cell has a nucleus, or a central command station. Scientists have shown that the passage of molecules through the nucleus of a star-shaped brain cell, called an astrocyte, may play a critical role in health and disease. The study, published in the journal Nature Neuroscience, was partially funded by the National Institutes of Health (NIH). “Unexpectedly we may have discovered a hidden pathway to understanding how astrocytes respond to injury and control brain processes. The pathway may be common to many brain diseases and we’re just starting to follow it,” said Katerina Akassoglou, Ph.D., a senior investigator at the Gladstone Institute for Neurological Disease, a professor of neurology at the University of California, San Francisco, and a senior author of the study. Some neurological disorders are associated with higher than normal brain levels of the growth factor TGF-beta, including Alzheimer's disease and brain injury. Previous studies found that after brain injury, astrocytes produce greater amounts of p75 neurotrophin receptor (p75NTR), a protein that helps cells detect growth factors. The cells also react to TGF-beta by changing their shapes and secreting proteins that alter neuronal activity. Dr. Akassoglou’s lab showed that eliminating the p75NTR gene prevented hydrocephalus in mice genetically engineered to have astrocytes that produce higher levels of TGF-beta. Hydrocephalus is a disorder that fills the brain with excess cerebral spinal fluid. Eliminating the p75NTR gene also prevented astrocytes in the brains of the mice from forming scars after injuries and restored gamma oscillations, which are patterns of neuronal activity associated with learning and memory.
Could taking iodine pills in pregnancy help to raise children’s IQ? Some researchers suggest women in the UK should take such supplements, but others say the evidence is unclear, and that it could even harm development. Iodine is found in dairy foods and fish, and is used in the body to make thyroid hormone, which is vital for brain development in the womb. In some parts of the world, such as inland areas where little fish is consumed or the soil is low in iodine, severe deficiencies can markedly lower intelligence in some people. In most affected areas, iodine is now added to salt. The UK was not thought to need this step, but in 2013 a large study of urine samples from pregnant women found that about two-thirds had mild iodine deficiency, and that the children of those with the lowest levels had the lowest IQs. Now another team has combined data from this study with other data to calculate that if all women in the UK were given iodine supplements from three months before pregnancy until they finished breastfeeding, average IQ would increase by 1.2 points per child. And the children of mothers who were most iodine deficient would probably benefit more, says Kate Jolly of the University of Birmingham, who was involved in the study. “We are talking about very small differences but on a population basis it could mean quite a lot,” she says. The team calculated that providing these iodine supplements would be worth the cost to the UK’s National Health Service because it would boost the country’s productivity. © Copyright Reed Business Information Ltd.
Laura Sanders A type of brain cell formerly known for its supporting role has landed a glamorous new job. Astrocytes, a type of glial cell known to feed, clean and guide the growth of their flashier nerve cell neighbors, also help nerve cells send electrical transmissions, scientists report in the Aug. 5 Journal of Neuroscience. The results are the latest in scientists’ efforts to uncover the mysterious and important ways in which cells other than nerve cells keep the nervous system humming. Astrocytes deliver nutrients to nerve cells, flush waste out of the brain (SN: 9/22/12) and even help control appetite (SN: 6/28/14). The latest study suggests that these star-shaped cells also help electrical messages move along certain nerve cells’ message-sending axons, a job already attributed to other glial cells called oligodendrocytes and Schwann cells. Courtney Sobieski of Washington University School of Medicine in St. Louis and colleagues grew individual rat nerve cells in a single dish that contained patches of astrocytes. Some nerve cells grew on the patches; others did not. The nerve cells deprived of astrocyte contact showed signs of sluggishness. The researchers think that astrocytes guide nerve cell growth in a way that enables the nerve cells to later fire off quick and precise messages. It’s not clear how the astrocytes do that, but the results suggest that proximity is the key: Astrocytes needed to be close to the nerve cell to help messages move. © Society for Science & the Public 2000 - 2015
By Roni Caryn Rabin For years experts have urged physicians to screen infants and toddlers for autism in order to begin treatment as early as possible. But now an influential panel of experts has concluded there is not enough evidence to recommend universal autism screening of young children. The findings, from a draft proposal by the U.S. Preventive Services Task Force published Monday, are already causing consternation among specialists who work with autistic children. “I was in a meeting when I read this, and I started feeling like I’d have chest pain,” said Dr. Susan E. Levy, a pediatrician who helped write the American Academy of Pediatrics guidelines urging universal screening of all babies, with standardized screening tools at both 18 and 24 months. “I would hate to see people stop screening.” Dr. David Grossman, a pediatrician and vice chairman of the U.S. Preventive Services Task Force, emphasized that the panel’s draft proposal was a call for more research and not intended to change practices. About half of all pediatricians routinely screen toddlers for autism. “This doesn’t mean ‘don’t screen.’ ” Dr. Grossman said. “It means there is not enough evidence to make a recommendation.” Dr. Grossman also noted that the panel’s conclusion applied only to routine screening of healthy children without symptoms. A child displaying symptoms associated with autism should always be evaluated, he said. “If a parent comes in and says, ‘My child isn’t looking at me,’ that’s not a screening,” Dr. Grossman said. “You hear that as a doctor and you say, ‘That needs to be looked at,’ and you embark on a series of tests.” Despite those reassurances, autism experts worry that the panel’s lack of support for early autism screening could undermine efforts to identify and treat children as early as possible. The task force is an independent panel of experts in prevention and primary care appointed by the federal Department of Health and Human Services. The task force wields enormous influence in the medical community. In 2009, the panel issued controversial screening guidelines for breast cancer, stating that routine mammograms should start at 50 rather than 40. © 2015 The New York Times Company
Link ID: 21262 - Posted: 08.04.2015
Cerebral palsy, the most common cause of physical disability in children, has long been thought to result from brain injury in the fetus. But new Canadian research is challenging that notion, finding that at least one in 10 cases likely has an underlying genetic cause. So ingrained has medical dogma been around the root causes of cerebral palsy that "when I showed the results to our clinical geneticists, initially they didn't believe it," he said. About two in every 1,000 babies born are affected by cerebral palsy. An estimated 50,000 Canadian children and adults have the condition, which leads to varying degrees of motor impairment, including muscle spasticity and involuntary movements. Symptoms can include epilepsy as well as learning, speech, hearing and visual impairments. Some with the disorder are mildly affected, while others can't walk or communicate. Traditionally, cerebral palsy was believed to be caused by a stroke or infection of the brain in the developing fetus, or by birth asphyxia — a lack of oxygen to the infant during delivery. But genetic testing of a group of affected children from across Canada found that in 10 per cent of cases, structural changes to the DNA appear to have given rise to the condition. The research team, which includes physicians at the McGill University Health Centre in Montreal, performed genome sequencing tests on 115 children with cerebral palsy and their parents. ©2015 CBC/Radio-Canada.
By Robert Gebelhoff Just in case sea snails aren't slow enough, new research has found that they get more sluggish when they grow old — and the discovery is helping us to understand how memory loss happens in humans. It turns out that the sea snail, which has a one-year lifespan, is actually a good model to study nerve cells and how the nervous system works in people. How neurons work is fundamentally identical in almost all animals, and the simplicity of the snail's body gives researchers the chance to view how different the system works more directly. "You can count the number of nerve cells that are relevant to a reflex," said Lynne Fieber, a professor at the University of Miami who leads research with the snails at the school. She and a team of researchers have been using the slimy little critters to learn how nerve cells respond to electric shock. They "taught" the snails to quickly contract their muscle tails by administering electric shocks and then poking the tails, a process called "sensitization." They then studied the responses at various ages. The scientists, whose work was published this week in the journal PlOS One, found that as the senior citizen specimens do not learn to contract from the shock very well. As the snails grow older, their tail startle reflex lessened, and then disappeared. So I guess you could say the frail snails' tails fail to avail (okay, I'll stop).
By Ariana Eunjung Cha Think you have your hands full making sure your baby is fed and clean and gets enough sleep? Here's another thing for the list: developing your child's social skills by the way you talk. People used to think that social skills were something kids were born with, not taught. But a growing body of research shows that the environment a child grows up in as an infant and toddler can have a major impact on how they interact with others as they get older. And it turns out that a key factor may be the type of language they hear around them, even at an age when all they can do is babble. Psychologists at the University of York observed 40 mothers and their babies at 10, 12, 16 and 20 months and logged the kind of language mothers used during play. They were especially interested in "mind-related comments," which include inferences about what someone is thinking when a behavior or action happens. Elizabeth Kirk, a lecturer at the university who is the lead author of the study, published in the British Journal of Developmental Psychology on Monday, gave this as an example: If an infant has difficulty opening a door on a toy, the parent might comment that the child appears "frustrated." Then researchers revisited the children when they were 5 or 6 years of age and assessed their socio-cognitive ability. The test involved reading a story and having the children answer comprehension questions that show whether they understood the social concept -- persuasion, joke, misunderstanding, white lies, lies, and so forth -- that was represented.
Tara Haelle To tell if a baby has been injured or killed by being shaken, the courts use three hallmark symptoms: Bleeding and swelling in the brain and retinal bleeding in the eyes. Along with other evidence, those standards are used to convict caregivers of abusive head trauma, both intentional and unintentional, that can result in blindness, seizures, severe brain damage or death. But in recent years a small cadre of experts testifying for the defense in cases across the country has called into question whether those symptoms actually indicate abuse. Though they are in the minority – disputing the consensus of child abuse experts, pediatricians and an extensive evidence base – they have gained traction in the media and in courtrooms by suggesting that shaking a child cannot cause these injuries. Instead, they argue that undiagnosed medical conditions, falls or other accidents are the cause. So researchers have developed and validated a tool doctors can use to distinguish between head injuries resulting from abuse and those from accidents or medical conditions. The method, described in the journal Pediatrics Monday, asks doctors to check for six other injuries, each of which increases the likelihood that a head injury resulted from severe shaking, blunt force or both. "It is vitally important that abuse head trauma is diagnosed accurately so that the team looking after the child can ensure that they receive appropriate support and are protected from further harm," lead study author Laura Elizabeth Cowley, a PhD student at the Cardiff University School of Medicine in the U.K., said in an email. "However, it is also important that accidental head injury cases are not wrongly diagnosed as abusive," she continues, "because this can have devastating consequences for the families involved." © 2015 NPR