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Keep Getting Lost? Maybe You Grew Up on the Grid.

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As a toddler in Chicago, Stephanie de Silva discovered that the town helped her get the place she was going. Streets had directional names like “West” or “North,” and so they usually met at neat proper angles. If all else failed, Lake Michigan might situate her.

However when Ms. de Silva, 23, moved to London, the place she now research cognitive science, she immediately couldn’t navigate to a restaurant two blocks from house with no smartphone map. The streets have been usually crooked. Typically they appeared to guide nowhere.

“I don’t assume the cardinal instructions exist right here,” she stated. “I’ve lived right here for six months now, and I don’t know which route I’m dealing with.”

Scientists in Ms. de Silva’s lab at College School London, together with colleagues in Britain and France, have now arrived at an evidence: Individuals who develop up in predictable, gridlike cities like Chicago or New York appear to wrestle to navigate as simply as those that come from extra rural areas or extra intricate cities.

These findings, revealed in Nature on Wednesday, recommend that folks’s childhood environment affect not solely their well being and well-being but additionally their skill to get round later in life. Very similar to language, navigation is a talent that seems to be most malleable when folks’s brains are creating, the researchers concluded.

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The authors hope the findings finally result in navigation-based assessments to assist diagnose Alzheimer’s illness. Getting misplaced can typically happen earlier in the middle of the sickness than reminiscence issues, they stated.

Researchers have developed digital navigation assessments for cognitive decline, however they’ll interpret the outcomes provided that they know what different components affect folks’s way-finding skills.

Among the many forces shaping folks’s navigation expertise, the examine instructed, was what sort of locations they skilled as a toddler.

“The atmosphere issues,” stated Hugo Spiers, a professor of cognitive neuroscience at College School London and one of many examine’s lead authors. “The atmosphere we’re uncovered to has a knock-on impact, into the 70s, on cognition.”

It took a sequence of unlikely occasions — involving a cellphone firm, a controversial YouTuber and a custom-made online game — to generate the massive information set behind the examine.

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In 2015, Michael Hornberger, who research dementia at College of East Anglia in England, heard about an organization that needed to put money into dementia-related analysis.

Having simply attended a workshop about gaming in science, he proposed a online game that might assist him determine how folks of various ages, genders and places carried out on navigation duties. Such a recreation, he thought, might create benchmarks towards which to evaluate sufferers who could be within the early levels of Alzheimer’s illness.

To his shock, the corporate — Deutsche Telekom, a significant stakeholder in T-Cellular — funded his concept. Often known as “Sea Hero Quest,” the smartphone recreation concerned steering a ship to seek out sea creatures. To recruit gamers, the corporate launched an promoting marketing campaign that included a video from PewDiePie, YouTube’s greatest star on the time, who was later penalized by the platform for utilizing antisemitic language.

The scientists had hoped that the sport would draw 100,000 folks in Western Europe. The individuals can be testing their navigation expertise whereas additionally offering fundamental demographic particulars, like whether or not they had grown up in or outdoors of cities.

As an alternative, over 4.3 million folks joined in, producing a world database of clues about folks’s skill to get round. “We underestimated the gaming world,” Dr. Hornberger stated. “It went past our wildest desires.”

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For all its simplicity, the sport has been proven to foretell folks’s skill to get round actual locations, together with London and Paris. In recent times, the analysis group has used the ensuing information to point out that age steadily erodes folks’s navigation expertise and that gender inequality is a predictor of whether or not males will carry out barely higher than girls.

The most recent examine addressed what its authors described as a extra vexing query: Do cities, nonetheless grid-like, have the impact of honing folks’s navigational expertise by providing them a plethora of choices for transferring round? Or do folks from extra rural areas, the place distances between locations are lengthy and paths are winding, develop superior navigation skills?

To seek out out, the researchers studied recreation information from roughly 400,000 gamers from 38 international locations. The impact was clear: Individuals who reported rising up outdoors cities confirmed higher navigation expertise than these from inside cities, even when the scientists adjusted for age, gender and schooling ranges.

The one scenario during which folks accustomed to extra predictably organized cities did higher was on less complicated ranges of the online game.

Gamers of various nationalities carried out in a different way. Urbanites from some locations, like Spain, got here very near matching the navigation expertise of their rural counterparts. In different nations, like the USA, folks raised in cities have been at an enormous drawback.

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One rationalization, the researchers instructed, was that in international locations whose greatest cities have been complicated patchworks, like Spain, chaotic road layouts had sharpened navigation expertise. Against this, nations identified for extra predictable city designs, like the USA, put folks from outdoors cities at an even bigger benefit.

“In case you grew up in a metropolis like Chicago or Buenos Aires or Montreal — cities which might be very grid-like — you don’t prepare as a lot your navigation expertise as for those who grew up in a extra complicated metropolis, like London or Paris, the place the streets are way more convoluted,” stated Antoine Coutrot, a scientist on the French Nationwide Middle for Scientific Analysis and one other lead creator of the paper.

To handle considerations that folks from outdoors cities have been solely succeeding as a result of the online game was set in nature, the examine’s authors wrote that they replicated the findings in a smaller group of individuals recruited to play a special recreation: “Metropolis Hero Quest,” with the identical targets however a automobile rather than a ship.

For that experiment, the researchers requested extra detailed background questions, together with what atmosphere the individuals presently lived in. Consequently, they have been capable of study that folks’s present-day environment didn’t considerably have an effect on their efficiency on the video video games.

“It actually tells you that when your mind is creating, that is the important thing interval,” Dr. Coutrot stated. “It’s a bit like whenever you need to study a brand new language.”

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The examine speculated that extra complicated environments would possibly assist new neurons kind within the hippocampus, a mind construction vital in reminiscence. The authors, although, emphasised that folks nonetheless have been capable of develop navigation expertise later in life.

A few of the authors additionally famous that road structure was not the one issue making a metropolis tougher or simpler to navigate. Seen landmarks may be vital however are tougher to quantify for analysis functions than a road community.

The ocean creature recreation additionally steered away from particular questions on folks’s places, professions or how they bought round, a part of an effort to assuage privateness considerations and hold the science from intruding on the gaming.

That hid doubtlessly related parts of somebody’s upbringing from the analysis group, at the same time as some commentators remained skeptical of the undertaking on privateness grounds. Among the many unknowns was how the World Positioning System had modified folks’s navigational experiences, although Dr. Spiers famous that youthful individuals produced outcomes just like these of older folks.

Exterior scientists stated that the vary and variety of individuals have been far higher than ordinary.

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“Numerous completely different nations are represented, and many several types of geographical landscapes are represented,” stated Amber Watts, an affiliate professor of psychology on the College of Kansas who has studied neighborhood structure and cognition however was not concerned within the examine.

Whether or not the cognitive advantages of extra unpredictable metropolis designs have been price the price of making locations extra difficult to navigate — together with for folks already combating impairments — was much less clear.

“Does this imply we must always design environments that needs to be extra cognitively difficult?” Dr. Watts stated. “If I went to an city planner and stated make it as complicated as doable to get round a metropolis, that’s most likely not going to promote effectively.”

Paolo Santi, a analysis scientist on the Massachusetts Institute of Expertise’s Senseable Metropolis Lab who was not a part of the “Sea Hero Quest” group, stated that the outcomes referred to as to thoughts how he would give instructions to vacationers within the Italian cities the place he grew up.

If instructions in Manhattan have been typically so simple as down and over just a few blocks, instructions in Italian cities needed to be extra forgiving of grid-minded vacationers.

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“Reasonably than telling you one thing you’ll overlook, I say to only keep in mind the primary half, and whenever you get there, there are many folks to ask once more,” he stated.

Of a spot like New York, he stated, “On the one hand, you’ll be able to say the town’s designed effectively as a result of it’s simplified for the principle activity, which is getting round. Then again, if we don’t problem ourselves, in a way we don’t absolutely exploit the potential of our brains.”

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Flexitarian vs. Vegetarian — What’s the Difference? | Woman's World

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Many families take patients off life support too soon after traumatic brain injuries: study

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Many families take patients off life support too soon after traumatic brain injuries: study

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Many patients who died after traumatic brain injuries may have survived and recovered if their families had waited to take them off life support, a new study found.

Researchers from Massachusetts General Hospital, Harvard Medical School and other universities analyzed “potential clinical outcomes” for patients with traumatic brain injury (TBI) who were removed from life support, according to a press release.

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The study included 1,392 patients who were treated in 18 trauma centers across the U.S. over a 7½-year period.

HUNDREDS OF RURAL HOSPITALS ARE IN DANGER OF SHUTTING DOWN, STUDY FINDS: ‘AT RISK OF CLOSURE’

Using a mathematical model, the researchers compared patients for whom life support was withdrawn to similar patients who were kept on life support.

Among the group for whom life support was not withdrawn, more than 40% recovered at least some independence, according to a press release.

Many patients who died after traumatic brain injuries may have survived and recovered if their families had waited to take them off life support, a new study has found. (iStock)

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The researchers also discovered that the notion of remaining in a vegetative state was an “unlikely outcome” six months after injury.

When designing the study, the team didn’t know what to expect, according to study author Yelena Bodien, PhD, of the Department of Neurology’s Center for neurotechnology and neurorecovery at Massachusetts General Hospital. 

HOME HOSPITAL CARE BRINGS ‘PHENOMENAL’ BENEFITS TO PATIENTS AND PROVIDERS, STUDY FINDS

“Our anecdotal experience was that some families are told their loved ones had no chance for recovery, they would never walk, talk, work or have a meaningful relationship again — yet they chose not to discontinue life support and their loved one made a remarkable recovery,” she told Fox News Digital.

“On the other hand, clinicians are under a lot of pressure to make early prognoses and do not want to commit someone to a life that would never be acceptable to them, so it could be that those patients who died after life support was withdrawn would have had very significant impairments otherwise.”

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Woman in hospital

“Our anecdotal experience was that some families are told their loved ones had no chance for recovery … yet they chose not to discontinue life support and their loved one made a remarkable recovery,” a researcher said. (iStock)

“I think there are two stories here,” said Bodien. 

“One is that some patients with traumatic brain injury who died because life support was withdrawn may have recovered, but the other is that many would have died even if life support was continued.”

A patient’s prognosis after severe traumatic brain injury is highly uncertain, she noted. “Sometimes patients with the most devastating injuries survive and make meaningful recoveries.”

“Families can advocate for delaying a decision to discontinue life support if this is aligned with what they believe their loved one would want.”

The problem, Bodien said, is that health care providers lack the tools required to determine which patients with devastating injuries will recover, to what extent they will recover — and how long that will take.

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‘Very important’ study

Dr. Marc Siegel, clinical professor of medicine at NYU Langone Medical Center and a Fox News medical contributor, was not involved in the research but said it was a “very important” study.

“Previous research shows a high-level recovery from mild TBI and a significant recovery percentage even with moderate to severe injury,” Siegel told Fox News Digital.

HEAD INJURY ASSOCIATED WITH DOUBLED MORTALITY RATE, 30-YEAR STUDY REVEALS

“After head trauma, the brain may swell, and the use of mannitol and steroids and even sometimes surgery — where the top of the skull is removed — can be used to decrease pressure on the brain and increase chance of a full recovery,” he continued. 

Rehabilitation is also crucial, Siegel added.

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“All of these tools should be given a chance to work in most cases.”

Patient on hospital bed

Health care providers lack the tools required to determine which patients with devastating injuries will recover, to what extent they will recover and how long that will take, a researcher said. (iStock)

Based on the study findings, Bodien recommended that clinicians should be “very cautious” with “irreversible decisions” like withdrawing life support in the days following traumatic brain injury

“Families should also be aware of our results so that they can advocate for delaying a decision to discontinue life support if this is aligned with what they believe their loved one would want,” she added. 

Limitations of the research

There were some limitations to the study, Bodien said.

“The sample size of the study was small, which made it difficult to find an adequate number of participants who did not have life support discontinued and were clinically similar, or ‘matched,’ to those who had life support discontinued,” she told Fox News Digital.

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Among the participants who did not have life support discontinued, the researchers were not able to follow all of them for a six-month period.

Another limitation is that the researchers used clinical variables that were available on the day of, or the day after, hospitalization — but sometimes decisions to discontinue life support are made several days later.

Person on ventilator

Based on the findings, study author Yelena Bodien (not pictured) recommended that clinicians should be “very cautious” with “irreversible decisions” such as withdrawing life support in the days following traumatic brain injury.  (iStock)

“There are many considerations that may lead to a decision to discontinue life support after traumatic brain injury that we were unable to factor into our analyses,” she continued. 

“For example, personal beliefs, religion and advanced directives could all affect decision-making but were not captured in our study.”

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Bodien also noted that the Harvard study was focused on traumatic brain injury and cannot be generalized to other injuries and illnesses.

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7 important health stories you might have missed this week: Catch up here

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7 important health stories you might have missed this week: Catch up here

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Every day of the week, Fox News Digital publishes a range of health pieces to keep you up-to-date on the most important wellness news.

We cover cutting-edge medical research, breakthrough medications, mental health challenges, personal medical dramas and more.

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In case you missed them, here are a few of our biggest health stories from this week.

CLICK HERE TO SIGN UP FOR OUR HEALTH NEWSLETTER

You can see a full list of recent health pieces at http://www.foxnews/health

1. Hunger could be tied to sleep, expert says

If you’re feeling hungrier than usual lately, your sleep routine could be the culprit. A nutritional biologist offers tips for regulating sleep and curbing unhealthy cravings. Click here to get the story.

The food you eat can determine the quality of your sleep, according to experts. Here are the latest findings. (iStock)

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2. Health agencies issue bird flu update: ‘Alert, not alarmed’

The CDC and WebMD teamed up this week to deliver an hour-long update on Thursday about the current bird flu outbreak. Fox News Digital breaks down the most important points. Click here to get the story.

Dairy farm milk

Experts assured the public that drinking pasteurized milk remains safe. (iStock)

3. Melanoma patients share their stories

For Skin Cancer Awareness Month, two melanoma patients are speaking up about their symptoms, treatment and prevention tips to help others avoid the potentially deadly disease. Click here to get the story.

Melanoma patient

Abby Weiner, pictured at left and at right with her husband and sons, was diagnosed with melanoma in Oct. 2023.  (Abby Weiner)

4. Report reveals staggering discrepancy in health care costs

Patients with private health insurance could be charged up to 300% more than those with Medicare, a new report reveals. Doctors explain the reasons for the sticker shock. Click here to get the story.

Wearing masks in hospital

The new report published the names and pricing models of more than 4,000 U.S. hospitals. (iStock)

5. Pastor shares important message about depression

A Dallas pastor who fought his own depression battle shares how he overcame the disease – and why it’s so important for those in church leadership to seek help when they need it. Click here to get the story.

Dr. Mark Dance

Mark Dance, pictured with his wife, Janet Dance, said he suffered through a three-year period of depression while serving as a pastor. (Dr. Mark Dance)

6. Nurse’s depression is cured through breakthrough tech

A Chicago nurse struggled with COVID-19-related PTSD and depression for years until electrical brain tapping therapy finally gave her a new lease on life. Click here to get the story.

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gulden at relief mental health clinic

“Had I not had this treatment today, I don’t know where I’d be,” the patient told Fox News Digital.  (Melanie Eilers)

7. Young vaper shares warning after nearly dying

A 22-year-old man in Nebraska required a double lung transplant due to vaping. Jackson Allard shares his story as a cautionary tale. “I had a 1% chance to live,” he said. Click here to get the story.

Health weekend recap

This week’s health stories have included a pastor’s depression journey, the sleep-hunger connection, health care cost discrepancies, bird flu updates and more. (Mark Dance, iStock)

For more Health articles, visit www.foxnews.com/health.

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