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I HAVE PARKINSON'S DISEASES AND THOUGHT IT WOULD BE NICE TO HAVE A PLACE WHERE THE CONTENTS OF UPDATED NEWS IS FOUND IN ONE PLACE. THAT IS WHY I BEGAN THIS BLOG.

I COPY NEWS ARTICLES PERTAINING TO RESEARCH, NEWS AND INFORMATION FOR PARKINSON'S DISEASE, DEMENTIA, THE BRAIN, DEPRESSION AND PARKINSON'S WITH DYSTONIA. I ALSO POST ABOUT FUNDRAISING FOR PARKINSON'S DISEASE AND EVENTS. I TRY TO BE UP-TO-DATE AS POSSIBLE.

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Tuesday, September 16, 2014

The cell recognizes the buildup of misfolded proteins, offers insight into Alzheimer's, ALS, Huntington's, Parkinson's, and type 2 diabetes

Sept. 16, 2014

Living cells are like miniature factories, responsible for the production of more than 25,000 different proteins with very specific 3-D shapes. And just as an overwhelmed assembly line can begin making mistakes, a stressed cell can end up producing misshapen proteins that are unfolded or misfolded.
A color-enhanced electron micrograph shows the nucleus of a cell (blue) adjacent to the rough endoplasmic reticulum (green), where proteins are manufactured from mRNA templates produced by the nucleus.
Credit: University of Edinburgh, via the Wellcome Trust
Now Duke University researchers in North Carolina and Singapore have shown that the cell recognizes the buildup of these misfolded proteins and responds by reshuffling its workload, much like a stressed out employee might temporarily move papers from an overflowing inbox into a junk drawer.
The study, which appears in Cell, could lend insight into diseases that result from misfolded proteins piling up, such as Alzheimer's disease, ALS, Huntington's disease, Parkinson's disease, and type 2 diabetes.
"We have identified an entirely new mechanism for how the cell responds to stress," said Christopher V. Nicchitta, Ph.D., a professor of cell biology at Duke University School of Medicine. "Essentially, the cell remodels the organization of its protein production machinery in order to compartmentalize the tasks at hand."
The general architecture and workflow of these cellular factories has been understood for decades. First, DNA's master blueprint, which is locked tightly in the nucleus of each cell, is transcribed into messenger RNA or mRNA. Then this working copy travels to the ribosomes standing on the surface of a larger accordion-shaped structure called the endoplasmic reticulum (ER). The ribosomes on the ER are tiny assembly lines that translate the mRNAs into proteins.
When a cell gets stressed, either by overheating or starvation, its proteins no longer fold properly. These unfolded proteins can set off an alarm - called the unfolded protein response or UPR - to slow down the assembly line and clean up the improperly folded products. Nicchitta wondered if the stress response might also employ other tactics to deal with the problem.
In this study, Nicchitta and his colleagues treated tissue culture cells with a stress-inducing agent called thapsigargin. They then separated the cells into two groups - those containing mRNAs associated with ribosomes on the endoplasmic reticulum, and those containing mRNAs associated with free-floating ribosomes in the neighboring fluid-filled space known as the cytosol.
The researchers found that when the cells were stressed, they quickly moved mRNAs from the endoplasmic reticulum to the cytosol. Once the stress was resolved, the mRNAs went back to their spots on the production floor of the endoplasmic reticulum.
"You can slow down protein production, but sometimes slowing down the workflow is not enough," Nicchitta said. "You can activate genes to help chew up the misfolded proteins, but sometimes they are accumulating too quickly. Here we have discovered a mechanism that does one better - it effectively puts everything on hold. Once things get back to normal, the mRNAs are released from the holding pattern."
Interestingly, the researchers found that shuttling ribosomes between the ER and the cytoplasm during stress only affected the subset of mRNAs that would give rise to secreted proteins like hormones or membrane proteins like growth factor receptors - the types of proteins that set off the stress response if they're misfolded. They aren't sure yet what this means.

Nicchitta is currently searching for the factors that ultimately determine which mechanisms cells employ during the stress response. He has already pinpointed one promising candidate, and is looking to see how cells respond to stress when that factor is manipulated.

Non-motor Parkinson's Disease Symptom Drug Now Available


Posted by  Maggie McGuire, September 15, 2014
Non-motor Parkinson's Disease Symptom Drug Now Available
In February we told you that the U.S. Food and Drug Administration (FDA) had approved the drug Northera for use by people with Parkinson’s who experience orthostatic hypotension. This non-motor symptom is a sudden drop in blood pressure when standing up, which can cause dizziness, falls and injury.
Now physicians can prescribe this therapy, so talk to your doctor if you’ve experienced this symptom.
Orthostatic hypotension falls into the category of autonomic dysfunction that affects many people living with Parkinson’s disease (PD). The autonomic nervous system controls “automatic” muscle movements — like heartbeat and breathing — that keep us alive. The Michael J. Fox Foundation hosted a Webinar on autonomic dysfunction in PD in February. Watch the archived presentation.
Watch
https://www.youtube.com/watch?v=jnUrLnhpQfE&list=PLkPIhQnN7cN6dAJZ5K5zQzY84btUTLo_C&index=1

Caregiver Burnout - Write it Down!


Monday September 15, 2014
Caregiver burnout reflects a change in attitude about and toward your loved one and situation. For many, caregiver burnout is caused by emotional and physical stress that is associated with the toll caregiving can place on finances, social engagement and physical health. Common symptoms of burnout are fatigue, anxiety, depression, irritability, insomnia and guilt. You may find that your outlook or behavior changes from one of caring and supportive to one that is negative, easily frustrated or angered.
Simple steps can make a difference
Medical research finds that keeping a journal can help. getty_rf_photo_of_woman_writing_in_notebookThis technique is ideal because it places little additional stress on you- it is free, easy to do anywhere, requires no real preparation and takes just a few minutes. Journaling is a way to identify your feelings, reflect on your routine, unexpected moments of joy or gratitude and personal needs.
What is involved with Journaling?
Keeping a journal means that you will write (or record) a daily record of your experience. It is different than a diary that focuses on daily activities or what you did for the day.  This is an important part of journaling but journaling includes much more. For instance, it is an opportunity to express your emotions, how you feel about a change, your wishes, desires and hopes.  For some it is a reflection of their internal dialogue or thoughts put on paper. 
How can it help?  Journaling is:
  • Time to Focus. Organizing our thoughts, events, priorities and expectations helps us focus and reach our goals.
  • Time to ourselves. Think of this time as ‘your quality time’. Time to think about what is important to you, your wants, desires, successes, disappointments, fears and struggles
  • Time for self-exploration and introspective.  As author Donna Oiland states in her book titled Legacy, “Life experiences connect us to one another…The most meaningful and powerful stories are often drawn from commonplace occurrences.
  • Is Emotionally Healing.  Parkinson’s can lead to many ups and downs for you and the whole family.  Journaling is one way to help you through the bad times and chronicle the good times.  It can help you process your emotions and deal with daily stress. For some, journaling can improve mood and stress.
  • Therapeutic.  People that experience emotional or stressful events but due not express, share or communicate their emotions, otherwise called type D personality, may be at increased risk for health problems.  Journaling is especially helpful for people with chronic conditions or caregivers that tend to ‘hold things in’ and tend not to discuss their issues, concerns or emotions.  
    The benefits of journaling on heart disease and heart treatments shows that this simple exercise can help medical conditions.  How it affects Parkinson’s and other brain conditions is not yet clear as research has not yet explored this question.    
  • Creates a Legacy with your Life Story. Create family keep sake for future generations to enjoy.
How do I start?
  • Buy or make a special notebook- a place where you will collect all of your thoughts.  It is perfectly fine to use the computer to make entries or a tape recorder.  You may even want to create a journal jar- like a tip jar.  This allows you to write down simple ideas, thoughts, etc and slip them in a jar to pull out and read again in the future.  Some people find it helpful to pull out old entries and write a response to this entry such as how your feelings or the situation has changed, what you have learned or how you have grown since then.
  • Journal about what ever comes to mind. It is helpful to focus not just on events but how you feel and bout them, what you have learned from them or what they mean to you.
  • Spend 5 to 15 minutes a day or at least a few times a week. Like any daily task, it is helpful to develop a routine perhaps journaling the same time every day. Write honestly and be open about your feelings and thoughts. 
  • Make it a positive and introspective experience; one that you look forward to each day. Find a quiet area to relax into. Make your favorite cup of tea or even indulge in that piece of chocolate you crave.
  • Decide whether you would like to keep your entries private or use it as an opportunity to open up discussion or dialogue with family, friends or your clinicians. 
  • Books are available to help you with the process.  You may wish to join a Journaling class. 
Is it for everyone?
Journaling may not be for everyone.  Talk to your healthcare provider to see if it is right for you, especially if you suffer from serious depression, anxiety or other psychiatric condition as journaling can bring deep seated emotions to the surface.
Monique L. Giroux, MDMonique L. Giroux, MD
Medical Director, Northwest Parkinson's Foundation

Is Malnutrition an Issue?

Tuesday September 16, 2014
 - A report recently published in the Journal of Parkinson’s Disease concludes that people with Parkinson’s disease can experience difficulty with both food preparation and ingestion, which in turn can lead to problems of poor nutrition and possibly malnutrition. However, from another study, researchers disagree, stating that there is no greater risk for malnutrition in people with mild to moderate cases of the disease than for the healthy general population.
While there is some controversy over the report published in the Journal of Parkinson’s Disease, researchers do agree that that many Parkinson’s patients are underweight. The lead author of this latest study, Dr. Seyed-Mohammad Fereshtehnejad with the Division of Clinical Geriatrics of the Department of Neurobiology, Care Sciences, and Society at Sweden’s Karolinska Institute Hospital, says that there is evidence of increased risk of malnutrition for people with mild to moderate cases of Parkinson’s disease compared to and healthy control subjects.
Dr. Seyed-Mohammad adds that there are a number of factors associated with poor nutrition in Parkinson’s disease patients to include difficulty in cutting and bringing food to the mouth, as well as chewing and swallowing. Appetite may also decrease because of depression and constipation, two things commonly associated with the disease.
This study was designed to determine if these patients are malnourished. To make that determination, two groups of people from Iran were studied, one consisting of 143 patients with mild to moderate Parkinson’s and the other of 145 patients of the same gender and age used as the control group. Excluded from the study were Parkinson’s patients suffering a chronic condition that would affect nutrition to include diabetes and hypertension, as well as those on a special diet or showing cognitive impairment.
Using the Persian version of the Mini Nutritional Assessment (MNA) questionnaire, the nutritional status of participants was evaluated. Participants were asked to answer 18 questions pertaining to dietary issues, appetite, nutrition, malnutrition, feeding, and self-perception of health during 10 to 15 minute interviews and BMI, weight loss, and arm/calf circumferences were assessed.
The MNA helps to determine level of nutrition, with the highest score being 30. From there, 24-30 indicates healthy nutrition, 17 to 23.5 a risk for malnutrition, and less than 17, existing malnutrition. Using the MNA, researchers could not find any significant difference between the two groups for the highest score. However, 2.1% of Parkinson’s patients scored less than 17, showing malnutrition while 25.9% were in the 17 to 23.5 range, thereby being at risk of malnutrition.
Interestingly, on some measures, the patients with Parkinson’s disease did better than participants in the controlled group specific to psychological stress, weight loss, consumption of fresh fruits and vegetables, and protein intake although arm/calf circumference was dramatically lower in the patients with Parkinson’s.
The information gathered from the study shows that approximately 30% of patients with mild to moderate Parkinson’s disease are at risk for malnutrition. As far as the low incidence of risk specific to severe Parkinson’s, Dr. John Lokk, lead investigator with the Department of Geriatric Medicine of Sweden’s Karolinska University Hospital, said the study’s outcome could be the result of the patients selected for the study.
He goes on to say that participants of the study were recruited from an outpatient clinic and therefore, hospitalized patients with a more debilitating case of Parkinson’s were not included. He strongly believes that if this latest study had included people with severe Parkinson’s disease, risk of malnutrition would be significantly higher.

http://www.newsonwellness.com/2014/09/higher-risk-malnutrition-found-parkinsons-patients/

Sunday, September 14, 2014

Parkinson's Disease and Exercise





Parkinsons disease is a disorder that affects nerve cells (neurons) in the part of the brain that controls muscle movement. Nearly one million Americans currently live with Parkinsons and approximately 50,000 more receive a diagnosis of the disease every year.
Parkinson's symptoms develop gradually, typically beginning with trembling in one hand. Advanced stages may include tremor, slowness of voluntary movement, shuffling gait, balance issues, and slurred speech.
Parkinson's disease results from the loss of dopamine-producing cells in the substantia nigra, a small region of the brain. Dopamine is a neurotransmitter, which is released by nerve cells to send signals to other nerve cells.
Dopamine is required to control muscle movement and therefore having lower levels of dopamine is believed to be what causes the most common symptoms of Parkinson's.
Parkinson's is not easily diagnosed because there is no specific test for this disease. At this time, there is no known cure for PD but there are many promising therapies & trials underway that have been able to slow and or stop the progression of PD.
The variety and severity of symptoms vary from patient to patient and most patients do not experience all of the symptoms associated with PD. The progression of symptoms often begins on one side of the body and over time, may progress to the opposite side.
People with Parkinson's experience difficulties transmitting neurological impulses, in some ways similar to a telephone switchboard with some of the lines crossed. Parkinson's symptoms can also be compared to surfing the internet with a slow speed dial up connection including the pauses, delays & occasional disconnects.
Local chapters of the The National Parkinson Foundation can provide information about Parkinsons support groups in your area. Some of the larger local chapters offer organized exercise programs for members of their community. Daily exercise may be as important as medication in treating the symptoms of PD. Strength, flexibility, & mobility can be maintained and improved with daily exercise therapy.





Why Exercise is So Important
Exercise using stretch bands



Daily exercise therapy is one of the best things that you can do for yourself to counteract the negative effects of PD & other neurological & muscular disorders. A lack of physical activity reduces the amount of oxygen to the brain, contributes to further cell damage, loss of cognitive skills and muscle control.

Exercise brings additional oxygen & glucose to the brain, both of which are crucial to brain function. The body responds by forming new capillaries to bring the additional blood to nerve cells and by boosting brain chemicals that protect neurons and strengthen new neuronal connections. We have learned from stroke victims that the human brain has the ability to create new connections and bypass damaged areas to regain lost motor skills & muscle control. Remarkable results have been achieved, over time, with daily mental & physical exercise therapy. Mental concentration on repetitive physical movements can provide benefits to our muscles as well as our mental ability to control them.
When nerve cells are deprived of stimuli they atrophy, suggesting that stimulation of the central nervous system by physical activity may retard the loss of nerve cells in the brain and elsewhere. Exercise has been shown to enhance blood flow to various parts of the brain as well as to increase the speed with which nerve messages travel through the brain.
In addition to the effects of Parkinsons, most people diagnosed with this disease are over the age of 50 and therefore are also experiencing the normal effects of aging.
According to the American Academy of Orthopaedic Surgeons:
  • As muscles age, they begin to shrink and take longer to respond
  • Tendons become stiffer & less able to tolerate stress
  • Handgrip strength decreases, making routine tasks more difficult
  • The heart muscle becomes less capable, making us tire more quickly
  • Joint motion becomes more restricted & flexibility decreases
  • Joints become inflamed and arthritic as the cushioning cartilage begins to breakdown
However the good news is, that we now know that most of the changes in our musculoskeletal system that were attributed to normal aging are in fact the result of inactivity and or insufficient physical exercise. The less physical activity and exercise we do the less capable we become.
According to the Mayo Clinic, "Exercise has important benefits for everyone regardless of age or physical condition... When your condition threatens to immobilize you, Exercise keeps you moving... to retain your mobility & function, use it or lose it".

This was on the website ( I do not advertise any product) but NPF recommends it.
As an exercise therapist for the Parkinson Assn. of S.W. Florida (a National Parkinson Foundation Center of Excellence), Susan Branco, a member of the National Council on Aging & the American Senior Fitness Association has seen first hand the positive results that her therapeutic exercise program has on participants in her classes.

Susan's program (described below) is now available on video, for use in the privacy of your home. If you or someone you know has Parkinsons, using this program daily, can make a difference.
THERAPEUTIC FITNESS PROGRAM:
Therapeutic Fitness ProgramThis seated exercise program was designed for people with Parkinsons Disease and other neurological or muscular disorders. An exercise program like this one, which is intended to meet the needs of individuals with movement disorders, should be a main component in your treatment plan. This program includes stretching and strengthening routines that will help to minimize the negative effects that P.D. and other neurological and muscular disorders can have on your body. Using this program regularly will help to improve overall flexibility and fitness level so that you can maintain a higher level of independence. Caregivers will benefit from doing this program as well. Note: This program includes 1exercise band. Additional exercise bands may be ordered separately (additional band required if you plan on using this program with a partner). 1 or 2 lb. hand weights are recommended.
For more information:

Ref:   http://www.befitoverfifty.com/pages/thera.htm?source=MSad

Parkinson's Central Smartphone App

      



Parkinson's Central is a free, easy-to-use smartphone app that people with Parkinson's and their caregivers can use to access Parkinson's-related information wherever and whenever they need it.
Parkinson's Central features:
   "Near Me" tool to find resources in your area
   How to get the most out of doctor visits
   Ins and outs of diagnosis and medication management
   Tips on how to live well with Parkinson's
   Information about insurance and finance
   Special caregiver content






The Parkinson's Central app is made possible by generous support from:

 Read more:http://www.parkinson.org/NationalParkinsonFoundation/files/08/089d4dfc-39e9-4c27-b807-805680e074e1.pdf