Penn Medicine researchers discover link between fear and sound perception

Public release date: 30-Jun-2013 [ | E-mail | Share ]

Contact: Jessica Mikulski jessica.mikulski@uphs.upenn.edu 215-349-8369 University of Pennsylvania School of Medicine

PHILADELPHIA - Anyone who's ever heard a Beethoven sonata or a Beatles song knows how powerfully sound can affect our emotions. But it can work the other way as well our emotions can actually affect how we hear and process sound. When certain types of sounds become associated in our brains with strong emotions, hearing similar sounds can evoke those same feelings, even far removed from their original context. It's a phenomenon commonly seen in combat veterans suffering from post-traumatic stress disorder (PTSD), in whom harrowing memories of the battlefield can be triggered by something as common as the sound of thunder. But the brain mechanisms responsible for creating those troubling associations remain unknown. Now, a pair of researchers from the Perelman School of Medicine at the University of Pennsylvania has discovered how fear can actually increase or decrease the ability to discriminate among sounds depending on context, providing new insight into the distorted perceptions of victims of PTSD. Their study is published in Nature Neuroscience.

"Emotions are closely linked to perception and very often our emotional response really helps us deal with reality," says senior study author Maria N. Geffen, PhD, assistant professor of Otorhinolaryngology: Head and Neck Surgery and Neuroscience at Penn. "For example, a fear response helps you escape potentially dangerous situations and react quickly. But there are also situations where things can go wrong in the way the fear response develops. That's what happens in anxiety and also in PTSD -- the emotional response to the events is generalized to the point where the fear response starts getting developed to a very broad range of stimuli."

Geffen and the first author of the study, Mark Aizenberg, PhD, a postdoctoral researcher in her laboratory, used emotional conditioning in mice to investigate how hearing acuity (the ability to distinguish between tones of different frequencies) can change following a traumatic event, known as emotional learning. In these experiments, which are based on classical (Pavlovian) conditioning, animals learn to distinguish between potentially dangerous and safe sounds -- called "emotional discrimination learning." This type of conditioning tends to result in relatively poor learning, but Aizenberg and Geffen designed a series of learning tasks intended to create progressively greater emotional discrimination in the mice, varying the difficulty of the task. What really interested them was how different levels of emotional discrimination would affect hearing acuity in other words, how emotional responses affect perception and discrimination of sounds. This study established the link between emotions and perception of the world something that has not been understood before.

The researchers found that, as expected, fine emotional learning tasks produced greater learning specificity than tests in which the tones were farther apart in frequency. As Geffen explains, "The animals presented with sounds that were very far apart generalize the fear that they developed to the danger tone over a whole range of frequencies, whereas the animals presented with the two sounds that were very similar exhibited specialization of their emotional response. Following the fine conditioning task, they figured out that it's a very narrow range of pitches that are potentially dangerous."

When pitch discrimination abilities were measured in the animals, the mice with more specific responses displayed much finer auditory acuity than the mice who were frightened by a broader range of frequencies. "There was a relationship between how much their emotional response generalized and how well they could tell different tones apart," says Geffen. "In the animals that specialized their emotional response, pitch discrimination actually became sharper. They could discriminate two tones that they previously could not tell apart."

Another interesting finding of this study is that the effects of emotional learning on hearing perception were mediated by a specific brain region, the auditory cortex. The auditory cortex has been known as an important area responsible for auditory plasticity. Surprisingly, Aizenberg and Geffen found that the auditory cortex did not play a role in emotional learning. Likely, the specificity of emotional learning is controlled by the amygdala and sub-cortical auditory areas. "We know the auditory cortex is involved, we know that the emotional response is important so the amygdala is involved, but how do the amygdala and cortex interact together?" says Geffen. "Our hypothesis is that the amygdala and cortex are modifying subcortical auditory processing areas. The sensory cortex is responsible for the changes in frequency discrimination, but it's not necessary for developing specialized or generalized emotional responses. So it's kind of a puzzle."

Solving that puzzle promises new insight into the causes and possible treatment of PTSD, and the question of why some individuals develop it and others subjected to the same events do not. "We think there's a strong link between mechanisms that control emotional learning, including fear generalization, and the brain mechanisms responsible for PTSD, where generalization of fear is abnormal," Geffen notes. Future research will focus on defining and studying that link.

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Penn Medicine researchers discover link between fear and sound perception

Dr. Christian Schupp of Methodist Orthopedics & Sports Medicine Publishes Research Findings in American College of …

HOUSTON, TX--(Marketwired - July 01, 2013) - Dr. Christian Schupp, a primary care sports medicine physician who is board certified in family medicine and fellowship trained in sports medicine, publishes work and furthers research at Methodist Orthopedics & Sports Medicine-- home to an elite group of orthopedic and sports medicine physicians.His work appears in the recent issue of Current Sports Medicine Reports, the official journal of the American College of Sports Medicine.

Collaborating with colleague, Dr. Alysia Bedgood, the article, "Sideline Management from Head to Toe of the Skeletally Immature Athlete," provides valuable insight into the differences between musculoskeletal injuries affecting the young verses the adult athlete and the importance of an individualized treatment plan.

According to Schupp, while there are many articles on specific injury patterns and types of injuries that occur in sports, there is very little addressing the sideline management with a specific focus on the injuries affecting young athletes.

"Our article reviews the most common injuries that can occur with the young athlete from head to toe in comparison to a skeletally mature or adult athlete. We address how to approach these injuries from a sideline and sports medicine perspective, thus providing insight for health care professionals to evaluate and treat young athletes -- as well as determine when they can safely return to sports," said Schupp.

Dr. Schupp is part of one of the most innovative Primary Care Sports Medicine (PCSM) Fellowship programs in the country and lectures nationally on sideline preparedness.He holds a certificate of added qualifications in sports medicine and is a Fellow of the American College of Sports Medicine.He is the medical director for The Woodlands Marathon and is a team physician for several local Houston high schools. He also serves as an advisor to a number of professional groups -- including NCAA Football and Basketball, Iron Man (Kona and The Woodlands), triathlons, marathons and professional tennis and cycling.

"We have a unique team focused on the overall health of the athlete, not just a disease process or organ system -- but rather the whole athlete and active individual.This type of research and the work that Dr. Schupp does with athletes of all ages in our community is gradually changing the future of sports medicine," said Dr. Scott Rand, director of the PCSM Fellowship Program and the Methodist Center for Sports Medicine's Human Performance Lab located on the Methodist Willowbrook Hospital campus.

Dr. Schupp is part of a 10-physician orthopedic and sports medicine group.Board certified and fellowship trained, many of the physicians serve as team physicians for high school, collegiate and professional sports teams throughout Texas.Many also work in extended educational realms for organized sports clubs and travel with US teams, including the US Youth Olympic Weightlifting team and the US Soccer team.

The next "All School Activities" sports physicals are scheduled for August 3 from 8 a.m. - noon. Weekend Sports Injury Clinics begin Saturday, August 24 -- both at 13802 Centerfield Drive. To learn more about the Methodist Center for Sports Medicine and upcoming sports health activities call 281-737-0902.

Methodist Willowbrook Hospital has received its chest pain and stroke accreditations, performs complex surgeries such as neurosurgery and open heart, and focuses on women and children in its new Womens & Childrens Pavilion. Utilizing the latest research and state-of-the-art technology, Methodist Orthopedics & Sports Medicine at Willowbrook has become the leader in orthopedic care in northwest Houston. For a physician referral, call 281-737-2500.

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RIC to Launch New Era in Rehabilitation Medicine, Break Ground July 1 on New $550 Million Research Hospital

CHICAGO, July 1, 2013 /PRNewswire/ -- A new era in physical medicine and rehabilitation starts today. That's when the Rehabilitation Institute of Chicago (RIC) breaks ground for a $550 million research hospital that will transform the field by uniting research and clinical care to advance human ability.

Mayor Rahm Emanuel, Sens. Mark Kirk (R-Ill.) and Dick Durbin (D-Ill.) and RIC President and CEO, Dr. Joanne C. Smith, will speak today at the groundbreaking event, which begins at 9 a.m. at the site of the new hospital, two blocks south of the RIC's current flagship. An interactive area with live demonstrations of RIC's cutting-edge innovations, including bionic arms and wearable robots, will showcase RIC's pioneering work in biomedical science.

Recognized for more than 20 years as the nation's best rehabilitation hospital, RIC will disrupt the field yet again by introducing a novel model of care that will set the global standard to deliver faster and better outcomes for patients. The heart of RIC's audacious new approach to physical medicine is the fluid integration of researchers, engineers, doctors, nurses, therapists and patients working to identify real-time research breakthroughs that are immediately translated to patient care.

"This is far more than a new hospital. We are reinventing and reframing a model of physical medicine and rehabilitation that did not exist until now embedding research and clinical care, 24/7," said Dr. Smith. "Most medical institutions have research facilities separate from hospitals. At RIC, however, everyone will be in the same place, working shoulder to shoulder around each patient."

Futuristic Model of CareCentral to the new hospital will be five Innovation Centers that leverage RIC's core expertise and market leadership in brain, spinal cord, neuro-musculoskeletal, pediatric and cancer research and recovery. Each Innovation Center will introduce a futuristic model of care that infuses 21st century biomedical science into the clinical environment in ways unlike any other hospital. All human-subject research, applied research and proof-of-concept testing will be embedded with the clinical units in dynamic spaces, called AbilityLabs.

As the active nucleus of each Innovation Center, the five uniquely designed AbilityLabs will bring together clinicians and patients in the same space as scientists, engineers and device developers. Collaboratively, they will focus on the most important challenges their patients face. Inspiration will abound when these teams are intimately knit together with the single-minded purpose to advance a patient's ability. The concept was first introduced in January 2012 via a test-bed prototype on the ninth floor of the current hospital.

"This integrated model of care enables research to become available for patients sooner. Breakthrough research that used to take 10 years from lab to scientific journal to hospital may now be introduced to patients right away," said Dr. Smith. "We will see an enormous acceleration in our ability to understand and to solve patients' problems."

The world's only AbilityLabs will address speech and cognition (speak and think), fine motor (arms and hands), gait and locomotion (legs and walking), coordination and endurance (total body) and pediatrics (all abilities for kids). Each of the differentiated AbilityLabs will have a unique, purpose-based configuration.

"This is a great day for rehabilitation research," said Sen. Kirk, who received state-of-the-art, integrated research and clinical care in RIC's prototype AbilityLab after his stroke last year. "My research and clinical team worked side-by-side with me to help me achieve a number of personal goals. Whenever I thought the task was impossible, everyone at the RIC said, 'You will be able to.' I am living proof of the extraordinary work of this institution and humbled by the generosity of donors who are helping to advance its mission."

Urgent and Ever-Growing Need Nowhere has this extraordinary work made more of an impact than on the nation's military healthcare system. RIC's commitment to developing rehabilitation services for veterans dates back 60 years. Bionic limb innovations led by RIC's Dr. Todd Kuiken and Dr. Levi Hargrove have enabled injured veterans to gain the ability to use their lost limbs via prosthetics that can be controlled by thought.

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RIC to Launch New Era in Rehabilitation Medicine, Break Ground July 1 on New $550 Million Research Hospital

Dr. Adam’s Dog Health Workshop: Traditional Chinese Medicine to treat skin and intestinal issues – Video


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Medicine Hat Tigers Issue Arena Flood Update

June 28, 2013 - Western Hockey League (WHL) Medicine Hat Tigers Medicine Hat, AB - The Medicine Hat Arena has now moved into the recovery stage after the South Saskatchewan River deposited four feet of water into the rink earlier this week.

The main goal is to now restore electricity to the 43-year-old building. This will take place over the next couple of weeks. Once electricity is restored, a full building assessment can be done to determine the extent of damage to the ice making equipment.

The Tiger's offices will remained closed while The Arena is without electricity. Staff will continue to work out of their homes for the time being.

The Arena staff, led by Darren Lodon, has done an excellent job in clearing out the mud and sludge that was left behind when the river receded. There was mud in the foot well of the first row of seats and everywhere below on the event level.

A restoration crew will now take over and do the detailed cleaning and disinfecting of the entire ice level area of The Arena. The crews are expected to arrive and begin the massive clean-up tomorrow.

Everything below the waterline that came into contact with contaminated river water must be removed and replaced. This includes the Tiger's and visiting team's dressing rooms, Tiger's coaching offices, the media room, all storage spaces along with the Tiger's Den Lounge. The Arena lunch, tool, medical rooms, and building operation/concession offices are also included in the long list of areas that need to be addressed.

"We find ourselves in the exact same position regarding the rebuild of the event level as we did after the 1995 flood," stated Tigers' senior director, marketing and public relations. "In my preliminary meeting with the head of Parks and Recreation, we have identified the key date of September 21st as our target to be operational in The Arena. The City of Medicine Hat will endeavour to make this happen. We will remain in close communications with The City to further understand situations in the building as they develop."

The Tigers are schedule to have their home opener vs. Lethbridge Hurricanes on Saturday, September 21 at The Arena.

The exact location of the Tiger's training camp, which is to begin August 24th with rookie camp, and the exhibition game slated for Saturday, September 9th Vs. Swift Current Broncos are yet to be determined.

"We will work with The City once they have more information over the next few weeks on which rinks they will be opening later this summer and determine which is the best fit for them and ourselves," said Andjelic. "We fully understand what a difficult time The City of Medicine Hat will have in dealing with all the flooded areas, not just our situation."

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Medicine Hat Tigers Issue Arena Flood Update

Morehouse School of Medicine Announces Leadership Transition

ATLANTA, June 28, 2013 /PRNewswire/ --Today Morehouse School of Medicine (MSM) President John E. Maupin Jr., D.D.S. announced his planned retirement, closing a celebrated tenure and an over 30-year accomplished career in academic medicine, healthcare administration and public health. Effective July 1, 2014, after the end of the upcoming academic year, Dr. Maupin will be succeeded by Valerie Montgomery Rice, M.D., a Harvard-educated obstetrician and gynecologist, who was named as executive vice president and dean in 2011. Dr. Montgomery Rice will retain the position of dean when she becomes president next year. With this announcement, Dr. Montgomery Rice becomes the nation's first African-American woman to lead a free-standing medical school as chief executive officer. As dean, she will continue amongst the ranks of the 16 percent of women serving as dean leading academic medical institutions.

(Photo: http://photos.prnewswire.com/prnh/20130628/CL40156)

In 2010, the MSM board of trustees approved a new leadership structure that would merge the roles of dean and president upon Dr. Maupin's retirement. This new structure is consistent with a recent trend among the nation's medical schools-- elevating the role of dean to chief executive officer while retaining chief academic officer responsibilities.

"We are appreciative for the service and superior leadership Dr. Maupin displayed during his seven-year tenure as president," said Anthony Welters, chairman of MSM's board of trustees, executive vice president of United Health Group and member of the office of the CEO. "Under Dr. Maupin's guidance, the school has made significant advances, expanding academic programs and clinical affiliations, creating innovative partnerships, modernizing facilities, and strengthening the infrastructure to better support research, patient care and teaching."

Mr. Welters went on to explain, "The board of trustees is confident that the carefully orchestrated succession plan helps to maintain business continuity, provide a seamless transition, and help to facilitate Dr. Montgomery Rice's success as the next leader."

"During her tenure as dean, Dr. Montgomery Rice demonstrated her commitment to the mission and vision of the medical school," said Art R. Collins, chairman of the board of trustees' committee on transition and founding partner of the Collins Johnson Group. "In our selection of Dr. Montgomery Rice as dean, the trustees looked at a long-term strategy. We believed the dean could ascend to leading the medical school and her current role would provide the necessary consistency to continue advancing the mission."

A native of Macon, Ga., Dr. Montgomery Rice, served in numerous leadership positions at some of the nation's most prestigious academic and health institutions. Dr. Montgomery Rice received an undergraduate degree in chemistry from Georgia Institute of Technology, a medical degree from Harvard Medical School, and completed her training in obstetrics and gynecology at Emory University Medical School and reproductive endocrinology and infertility at Hutzel Hospital in Detroit. A renowned infertility expert and nationally recognized clinical scientist, Dr. Montgomery Rice also served on numerous professional and scientific advisory panels, national industry boards and authored more than 50 medical research articles.

"I consider it an honor that our board is entrusting me with the responsibility of continuing to build on the legacy of this pre-eminent institution," said Dr. Montgomery Rice. "The vision is crystal clear. My role is to continue to further the mission while also positioning the school to remain relevant and at the forefront of an ever-changing medical education environment."

During the next year, the two leaders will continue to enhance key partnerships, advance development and philanthropic outreach, and maintain a focus on faculty and staff engagement.

Upon retirement, Dr. Maupin plans to continue to serve on corporate and civic boards. "Being a part of the growth and development of Morehouse School of Medicine has been a remarkable experience," said Dr. Maupin. "Much about MSM is highly distinctive, but what makes it so special is the extraordinarily dedicated faculty and staff, community-focused students, and committed trustees and alumni."

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Morehouse School of Medicine Announces Leadership Transition

Dr. Meissner, 8th symposium of the DAEMBE: Universal Energy – quantum physics – quantum medicine… – Video


Dr. Meissner, 8th symposium of the DAEMBE: Universal Energy - quantum physics - quantum medicine...
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