Tag Archives: treatment

Need to Sober Up? Just Breathe Out the Booze!

With regards to alcohol, many of us have previously reached the so-called point of no return: a moment where the pleasant buzz is replaced by a throbbing headache (and massive amounts of regret). If only there was a simple way to quickly sober up…

Alcohol! Source: awee_19, Flickr

A simple overview of ethanol breakdown

First, let’s dive into how our bodies break down alcohol. Once ethanol arrives at the stomach and intestines, it is absorbed into the bloodstream. From there, most of the alcohol ends up in the liver. The liver is responsible for detoxifying 90% of the ethanol that we consume; the remaining 10% is eliminated through sweat, urine, and breath.

However, the rate at which the liver breaks down ethanol is zeroth-order: meaning that the breakdown rate is always constant, no matter how much ethanol is in your system. This explains why we haven’t been able to develop techniques to speed up the rate of ethanol breakdown in our livers.

Naturally, the next step would be to see whether we can speed up the elimination of the remaining 10% of ethanol in our bloodstreams. Turns out, we can! Remember how we said that some ethanol is breathed out? This works the same way that we exhale carbon dioxide: diffusion! Since the ethanol concentration in our bloodstream is higher than in the air that we breathe in, some ethanol diffuses into our lungs and we breathe it out!

Diffusion Explained.
Source: Free Animated Education, YouTube

A breathalyzer uses the fact that we breathe out ethanol to determine our blood alcohol concentration (BAC). Source: Dave Shea, Flickr

So can I just hyperventilate until I start to feel sober?

In theory, you could… but you really shouldn’t. Hyperventilating will reduce your ethanol levels, sure, but it will also decrease your CO2 levels: causing your brain’s blood vessels to narrow, and ultimately depriving your brain of oxygen. Thankfully, a recent study has found a simple and effective solution, utilizing isocapnic hyperpnea.

Isocapnic hyperpnea: what is it?

To put it simply, isocapnic hyperpnea (IH) is when you deeply (sometimes rapidly) breathe in air that has an equal concentration of carbon dioxide as in your bloodstream. This lets you breathe out all the nasty ethanol, while your CO2 levels stay steady. In the study, participants drank vodka, then were connected to a device which supplied air which had a CO2 concentration similar to what would be found in normal blood vessels. The results of the study showed that the participants who underwent IH were able to get ethanol out of their system more than three times faster than participants who breathed regular air!

A demonstration of the IH apparatus. Source: UHN

This technology could be widely available in the near future, since IH has already been approved as a treatment for clearing our bodies of other chemicals. IH could help paramedics in clearing the alcohol out of a patient’s system in a timely manner, which could ultimately save their lives. Remember to always drink responsibly!

 

– Sam Jung

Treating Depression: Personalized Deep Brain Stimulation

How would you feel if the treatment or medication you were taking had little to no effect in suppressing your symptoms? Unfortunately, this is the case for 1 in 3 patients diagnosed with depression. These patients fall under a category known as treatment-resistant depression. Personalized deep brain stimulation, a promising alternative to conventional treatments, has the potential to treat various forms of depression by allowing physicians to tailor treatment to an individual.

THE PROBLEM

Depression, which is characterized by low mood, is linked to an imbalance of serotonin, norepinephrine, and dopamine neurotransmitters in the brain. It is a common mental illness that affects the way someone feels, thinks, and acts. However, it is important to note that depression varies significantly among individuals and many other factors play a role.

Source: flickr.com

As stated by Ben Paul from USC Viterbi School of Engineering,

“Mental disorders can manifest differently in each patient’s brain.”

There is no single treatment that can effectively treat the symptoms of depression among all diagnosed individuals. This makes it hard for physicians to provide the best treatment for their patients.

WHAT IS DEEP BRAIN STIMULATION?

Deep brain stimulation (DBS) is a surgical procedure where electrodes are implanted within specific areas of the brain. By electrically stimulating these parts of the brain, physicians can reduce the symptoms associated with depression. The amount of stimulation is controlled by a pacemaker that is placed under the skin on the chest.

The video below explains this procedure further and contains an interview with Edi Guyton, a patient who had this surgery: 

Source: CNN | Youtube

PROMISING ALTERNATIVE: PERSONALIZED DEEP BRAIN STIMULATION 

Even with deep brain stimulation, each patient’s response to treatment will be different. However, one of the pros of deep brain stimulation is that it results in immediate changes. This is the key component that allows physicians to personalize treatment. A 2021 research study led by Dr. Maryam Shanechi and her team at the USC Viterbi School of Engineering explains an approach that can be used to predict and see how an individual’s brain responds to stimulation. Her research will allow physicians to monitor brain regions in real-time.

How is this done? 

       Two tools have been designed: 

  1. Electrical stimulation wave to map brain activity
  2. Machine-learning techniques that can learn the mapped brain activity which is collected during stimulation 

The stimulation wave tool randomly changes the characteristics (amplitude and frequency) of the electrical impulse over time. A change in these characteristics is the equivalent of changing the dosage of a medication. Analysis of brain activity during these changes will help physicians determine the correct stimulation doses. 

THE FUTURE: TREATING DEPRESSION

Dr. Maryam Shanechi’s research will allow physicians to personalize deep brain stimulation for all patients diagnosed with depression. This can help physicians overcome the difficulty of assisting individuals with treatment-resistant depression. Success within this field of personalized deep brain stimulation not only holds great potential for treating depression but can also lead to improved treatments for other psychiatric disorders. 

Source: flickr.com

 

– Samantha Nalliah

Treating Depression: Personalized Deep Brain Stimulation

Source: flickr.com

How would you feel if the treatment or medication you were taking had little to no effect in suppressing your symptoms? Unfortunately, this is the case for 1 in 3 patients diagnosed with depression. These patients fall under a category known as treatment-resistant depression. Personalized deep brain stimulation, a promising alternative to conventional treatments, has the potential to solve this problem by allowing physicians to tailor treatments to an individual’s needs.

The Problem

Depression, which is characterized by low mood, is linked to an imbalance of serotonin, norepinephrine, and dopamine neurotransmitters in the brain. It is a common mental illness that affects the way someone feels, thinks, and acts. However, it is important to note that depression varies significantly among individuals and many other factors play a role. As stated by Ben Paul from USC Viterbi School of Engineering,

“Mental disorders can manifest differently in each patient’s brain.”

There is no one single treatment that is able to effectively treat the symptoms of depression among all diagnosed individuals. This makes it hard for physicians to provide the best treatment for their patients.

What is deep brain stimulation?

Deep brain stimulation (DBS) is a surgical procedure where electrodes are implanted within specific areas of the brain. By electrically stimulating these parts of the brain, physicians can reduce the symptoms associated with depression. The amount of stimulation is controlled by a pacemaker that is placed under skin on the chest.

The video below explains this procedure further and contains an interview with Edi Guyton, a patient who had this surgery: 

Source: CNN | Youtube

Promising Alternative: Personalized Deep Brain Stimulation 

Even with deep brain stimulation, each patient’s response to treatment will be different. However, one of the pros of deep brain stimulation is that it results in immediate changes. This is the key component that allows physicians to personalize treatment.

Research led by Maryam Shanechi and her team at USC Viterbi School of Engineering have figured out a way to predict and see how an individual’s brain responds to stimulation. This allows physicians to monitor brain regions in real time.

How is this done? 

           Two tools have been designed: 

  1. Electrical stimulation wave to map brain activity
  2. Machine-learning techniques that are able to learn the mapped brain activity which is collected during stimulation 

The stimulation wave designed by Maryam and her team randomly changes amplitude and frequency of the electrical impulse over time. A change in amplitude and frequency would be the equivalent to changing the milligram dose of a pill. Analysis of brain activity during these changes will allow physicians to arrive at the correct stimulation doses.  As a result, physicians will be able to personalize and tailor the deep brain stimulation for the individual. 

This treatment can be used to find an effective approach for almost all patients diagnosed with depression.  Success within this field of personalized deep brain stimulation will hopefully lead to more application for other mental disorders. 

– Samantha Nalliah

 

 

Need to Sober Up? Just Breathe Out the Booze!

With regard to alcohol, many of us have previously reached the so-called point of no return: a moment where the pleasant buzz is replaced by a throbbing headache (and massive amounts of regret). If only there was a simple way to quickly sober up…

Alcohol! Source: awee_19, Flickr

A simple overview of ethanol breakdown

First, let’s dive into the details as to how our bodies break down alcohol. Once ethanol arrives at the stomach and small intestine, it is absorbed into the bloodstream. From there, it can travel to various organs in your body, or end up in the liver. The liver is responsible for detoxifying 90% of the ethanol that we consume; the remaining 10% is eliminated through sweat, urine, and breath.

However, the rate at which the liver breaks down ethanol is zeroth-order: meaning that the breakdown rate is always constant, no matter how much ethanol is in your system. This explains why we haven’t been able to develop techniques to speed up the rate of ethanol breakdown in our livers.

The next natural step would be to see whether we can speed up the elimination of the remaining 10% of ethanol in our bloodstreams. Turns out, we can! Remember how we said earlier that some ethanol is removed via breathing? This works the same way that we breathe out carbon dioxide: because the concentration of ethanol in our bloodstream is higher than in the air that we breathe in, some ethanol diffuses into our lungs and we breathe it out!

A breathalyzer uses the fact that we breathe out ethanol to determine our blood alcohol concentration (BAC). Source: Dave Shea, Flickr

So can I just hyperventilate until I start to feel sober?

In theory, you could… but you really shouldn’t. Hyperventilating will reduce your ethanol levels, sure, but it will decrease your CO2 levels as well: causing your brain’s blood vessels to narrow, and ultimately depriving your brain of oxygen. Thankfully, a recent study published just last year has found a simple and effective solution, utilizing isocapnic hyperpnea.

Isocapnic hyperpnea: what is it?

To put it simply, isocapnic hyperpnea (IH) is when you deeply (and sometimes rapidly) breathe in air that has an equal concentration of carbon dioxide as present in your bloodstream. In the study, participants consumed diluted vodka, then were connected to an apparatus which supplied air of CO2 concentration similar to levels found in normal blood vessels. This allowed the subjects to breathe out ethanol at a higher rate while maintaining steady CO2 levels in their blood. The results of the study showed that the participants who underwent IH showed an ethanol elimination rate which was more than three times greater than participants who breathed regularly!

A demonstration of the IH apparatus. Source: UHN

Deaths caused by alcohol poisoning are far too common. In the future, IH could help paramedics in clearing the alcohol out of a patient’s system in a timely manner, which could ultimately save their lives. Remember to always drink responsibly!

 

– Sam Jung