Depression, Olfaction, and Quality of Life: a Mutual Relationship
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Second Edition
COVID-19 Evidence Update COVID-19 Update from SAHMRI, Health Translation SA and the Commission on Excellence and Innovation in Health Updated 4 May 2020 – 2nd Edition “What is the prevalence, positive predictive value, negative predictive value, sensitivity and specificity of anosmia in the diagnosis of COVID-19?” Executive Summary There is widespread reporting of a potential link between anosmia (loss of smell) and ageusia (loss of taste) and SARS-COV-2 infection, as an early sign and with sudden onset predominantly without nasal obstruction. There are calls for anosmia and ageusia to be recognised as symptoms for COVID-19. Since the 1st edition of this briefing (25 March 2020), there has been a significant expansion of literature on this topic, including 3 systematic reviews. Predictive value: The reported prevalence of anosmia/hyposmia and ageusia/hypogeusia in SARS-COV-2 positive patients are in the order of 36-68% and 33-71% respectively. There are reports of anosmia as the first symptom in some patients. Estimates from one study for hyposmia and hypogeusia: • Positive likelihood ratios: 4.5 and 5.8 • Sensitivity: 46% and 62% • Specificity: 90% and 89% The US Centres for Disease Control and Prevention (CDC) has added new loss or taste or smell to its list of recognised symptoms for SARS-COV-2 infection. To date, the World Health Organization has not. Conclusion: There is sufficient evidence to warrant adding loss of taste and smell to the list of symptoms for COVID-19 and promoting this information to the public. Context • Early detection of COVID-19 is key to the ongoing management of the pandemic. -
Olfaction and Olfactory Learning in Drosophila: Recent Progress Andre´ Fiala
Olfaction and olfactory learning in Drosophila: recent progress Andre´ Fiala The olfactory system of Drosophila resembles that of experience. For example, an odor repetitively paired with vertebrates in its overall anatomical organization, but is a food reward becomes attractive. Conversely, an odor considerably reduced in terms of cell number, making it an ideal that often occurs concurrently with a punishment model system to investigate odor processing in a brain becomes a predictor for a negative situation and will be [Vosshall LB, Stocker RF: Molecular architecture of smell avoided. Drosophila melanogaster can easily perform such and taste in Drosophila. Annu Rev Neurosci 2007, 30:505- learning tasks and represents an excellent organism to 533]. Recent studies have greatly increased our knowledge investigate the neuronal mechanisms underlying such about odor representation at different levels of integration, from olfactory learning processes for two reasons. First, con- olfactory receptors to ‘higher brain centers’. In addition, siderable progress has already been made during recent Drosophila represents a favourite model system to study the years in analyzing how odors are represented in the fly’s neuronal basis of olfactory learning and memory, and brain [1]. Second, the powerful genetic techniques by considerable progress during the last years has been made in which structure and function of identified neurons can be localizing the structures mediating olfactory learning and observed and manipulated makes Drosophila an ideal memory [Davis RL: Olfactory memory formation in neurobiological model system to characterize a neuronal Drosophila: from molecular to systems neuroscience. Annu network that mediates olfactory learning and memory [2– Rev Neurosci 2005, 28:275-302; Gerber B, Tanimoto H, 4]. -
Taste and Smell Disorders in Clinical Neurology
TASTE AND SMELL DISORDERS IN CLINICAL NEUROLOGY OUTLINE A. Anatomy and Physiology of the Taste and Smell System B. Quantifying Chemosensory Disturbances C. Common Neurological and Medical Disorders causing Primary Smell Impairment with Secondary Loss of Food Flavors a. Post Traumatic Anosmia b. Medications (prescribed & over the counter) c. Alcohol Abuse d. Neurodegenerative Disorders e. Multiple Sclerosis f. Migraine g. Chronic Medical Disorders (liver and kidney disease, thyroid deficiency, Diabetes). D. Common Neurological and Medical Disorders Causing a Primary Taste disorder with usually Normal Olfactory Function. a. Medications (prescribed and over the counter), b. Toxins (smoking and Radiation Treatments) c. Chronic medical Disorders ( Liver and Kidney Disease, Hypothyroidism, GERD, Diabetes,) d. Neurological Disorders( Bell’s Palsy, Stroke, MS,) e. Intubation during an emergency or for general anesthesia. E. Abnormal Smells and Tastes (Dysosmia and Dysgeusia): Diagnosis and Treatment F. Morbidity of Smell and Taste Impairment. G. Treatment of Smell and Taste Impairment (Education, Counseling ,Changes in Food Preparation) H. Role of Smell Testing in the Diagnosis of Neurodegenerative Disorders 1 BACKGROUND Disorders of taste and smell play a very important role in many neurological conditions such as; head trauma, facial and trigeminal nerve impairment, and many neurodegenerative disorders such as Alzheimer’s, Parkinson Disorders, Lewy Body Disease and Frontal Temporal Dementia. Impaired smell and taste impairs quality of life such as loss of food enjoyment, weight loss or weight gain, decreased appetite and safety concerns such as inability to smell smoke, gas, spoiled food and one’s body odor. Dysosmia and Dysgeusia are very unpleasant disorders that often accompany smell and taste impairments. -
Loss of Taste and Smell After Brain Injury
Loss of taste and smell after brain injury Introduction Following a brain injury many people report that their senses of taste and/or smell have been affected. This may be as a consequence of injury to the nasal passages, damage to the nerves in the nose and mouth, or to areas of the brain itself. Loss or changes to smell and taste are particularly common after severe brain injury or stroke and, if the effects are due to damage to the brain itself, recovery is rare. The effects are also often reported after minor head injuries and recovery in these cases is more common. If recovery does occur, it is usually within a few months of the injury and recovery after more than two years is rare. Sadly, there are no treatments available for loss of taste and smell, so this factsheet is designed to provide practical suggestions on how you can compensate. It provides information on health, safety and hygiene issues, suggestions to help you to maintain a healthy, balanced diet, information on psychological effects and some other issues to consider. How are taste and smell affected by brain injury? The two senses can both be affected in a number of different ways and some definitions of the terms for the different conditions are provided below: Disorders of smell Anosmia Total loss of sense of smell Hyposmia Partial loss of sense of smell Hyperosmia Enhanced sensitivity to odours Phantosmia/Parosmia ‘False’ smells – Perceiving smells that aren’t there Dysosmia Distortion in odour perception Disorders of taste Dysgeusia Distortion or decrease in the sense of taste Ageusia Total loss of sense of taste Dysgensia Persistent abnormal taste Parageusia Perceiving a bad taste in the mouth 1 The two senses are connected and much of the sensation of taste is due to smell, so if the sense of smell is lost then the ability to detect flavour will be greatly affected. -
Variants of Olfactory Memory and Their Dependencies on the Hippocampal Formation
The Journal of Neuroscience, February 1995, f5(2): 1162-i 171 Variants of Olfactory Memory and Their Dependencies on the Hippocampal Formation Ursula Sttiubli,’ To-Tam Le,2 and Gary Lynch* ‘Center for Neural Science, New York University, New York, New York 10003 and *Center for the Neurobiology of Learning and Memory, University of California, Irvine, California 92717 Olfactory memory in control rats and in animals with entor- pal pyramidal cells (e.g., Hjorth-Simonsen, 1972; Witter, 1993). hinal cortex lesions was tested in four paradigms: (1) a known Moreover, physiological activity in rat hippocampus becomes correct odor was present in a group of familiar but nonre- synchronized with that in the olfactory bulb and cortex during warded odors, (2) six known correct odors were simulta- odor sampling(Macrides et al., 1982). Theseobservations have neously present in a maze, (3) correct responses required prompted speculationand experimentation concerning the pos- the learning of associations between odors and objects, and sible contributions of the several stagesof the olfactory-hip- (4) six odors, each associated with a choice between two pocampal circuit to the encoding and use of memory. Lesions objects, were presented simultaneously. Control rats had no to the lateral entorhinal cortex, which separatethe hippocampus difficulty with the first problem and avoided repeating se- from its primary source of olfactory input, did not detectably lections in the second; this latter behavior resembles that affect the ability of rats to perform odor discriminations learned reported for spatial mazes but, in the present experiments, prior to surgery although they did disrupt the learning of new was not dependent upon memory for the configuration of discriminations (Staubli et al., 1984, 1986).This result suggested pertinent cues. -
Odour Discrimination Learning in the Indian Greater Short-Nosed Fruit Bat
© 2018. Published by The Company of Biologists Ltd | Journal of Experimental Biology (2018) 221, jeb175364. doi:10.1242/jeb.175364 RESEARCH ARTICLE Odour discrimination learning in the Indian greater short-nosed fruit bat (Cynopterus sphinx): differential expression of Egr-1, C-fos and PP-1 in the olfactory bulb, amygdala and hippocampus Murugan Mukilan1, Wieslaw Bogdanowicz2, Ganapathy Marimuthu3 and Koilmani Emmanuvel Rajan1,* ABSTRACT transferred directly from the olfactory bulb to the amygdala and Activity-dependent expression of immediate-early genes (IEGs) is then to the hippocampus (Wilson et al., 2004; Mouly and induced by exposure to odour. The present study was designed to Sullivan, 2010). Depending on the context, the learning investigate whether there is differential expression of IEGs (Egr-1, experience triggers neurotransmitter release (Lovinger, 2010) and C-fos) in the brain region mediating olfactory memory in the Indian activates a signalling cascade through protein kinase A (PKA), greater short-nosed fruit bat, Cynopterus sphinx. We assumed extracellular signal-regulated kinase-1/2 (ERK-1/2) (English and that differential expression of IEGs in different brain regions may Sweatt, 1997; Yoon and Seger, 2006; García-Pardo et al., 2016) and orchestrate a preference odour (PO) and aversive odour (AO) cyclic AMP-responsive element binding protein-1 (CREB-1), memory in C. sphinx. We used preferred (0.8% w/w cinnamon which is phosphorylated by ERK-1/2 (Peng et al., 2010). powder) and aversive (0.4% w/v citral) odour substances, with freshly Activated CREB-1 induces expression of immediate-early genes prepared chopped apple, to assess the behavioural response and (IEGs), such as early growth response gene-1 (Egr-1) (Cheval et al., induction of IEGs in the olfactory bulb, hippocampus and amygdala. -
Noradrenergic Activity in the Olfactory Bulb Is a Key Element for the Stability of Olfactory Memory
9260 • The Journal of Neuroscience, November 25, 2020 • 40(48):9260–9271 Behavioral/Cognitive Noradrenergic Activity in the Olfactory Bulb Is a Key Element for the Stability of Olfactory Memory Christiane Linster,1 Maellie Midroit,2 Jeremy Forest,2 Yohann Thenaisie,2 Christina Cho,1 Marion Richard,2 Anne Didier,2 and Nathalie Mandairon2 1Computational Physiology Laboratory, Department of Neurobiolgy and Behavior, Cornell University, Ithaca, New York 14850, and 2Institut National de la Santé et de la Recherche Médicale U1028, CNRS UMR 5292, and Neuroplasticity and Neuropathology of Olfactory Perception Team, Lyon Neuroscience Research Center, University of Lyon, F-69000 Lyon, France Memory stability is essential for animal survival when environment and behavioral state change over short or long time spans. The stability of a memory can be expressed by its duration, its perseverance when conditions change as well as its specificity to the learned stimulus. Using optogenetic and pharmacological manipulations in male mice, we show that the presence of noradrenaline in the olfactory bulb during acquisition renders olfactory memories more stable. We show that while inhibition of noradrenaline transmission during an odor–reward acquisition has no acute effects, it alters perseverance, duration, and specificity of the memory. We use a computational approach to propose a proof of concept model showing that a single, simple network effect of noradrenaline on olfactory bulb dynamics can underlie these seemingly different be- havioral effects. Our results show that acute changes in network dynamics can have long-term effects that extend beyond the network that was manipulated. Key words: computational; memory; noradrenaline; olfactory; stability Significance Statement Olfaction guides the behavior of animals. -
Let's Talk About . . . Migraine and Dizziness
LET’S TALK ABOUT . MIGRAINE AND DIZZINESS Migraine is almost as common as high blood Key points pressure in the Canadian population. It is more • A migraine is a severe headache. common than asthma or diabetes. An estimated 300,000 Canadians suffer needlessly because they • Of over 300 types of migraine, dizziness is have either been misdiagnosed or not diagnosed a symptom of two: migraine with brainstem with chronic migraine. aura and vestibular migraine. • See a doctor who specialized in headaches for accurate diagnosis. What are the symptoms of migraine with dizziness? • Lifestyle changes may help prevent or lessen the occurrence of migraine. Common symptoms include: • Medication may help prevent migraine. • Visual aura – you may see flashes of light or have blind spots in your vision. • Localized pain behind or near the eye on one Note: Concussion also causes migraine-type side of your head. dizziness – concussion sufferers can substitute the • Light, sound (hyperacusis) and odor sensitivity word “concussion” for “migraine” in the information (hyperosmia). You may have some sensitivity below. daily and increased sensitivity when you have migraine. • Visual vestibular mismatch (the brain’s What is migraine? hypersensitivity to motion) is common in Migraine is a neurovascular headache, meaning it migraine-type brains both episodically and can be triggered by annoyance or disturbance to chronically. Sometimes it will occur without the nerves or blood vessels in the brain. All headache and you may feel “off” for an hour or migraines are caused by the same type of two. neurotransmitter dysregulation and respond to the • Vertigo (spinning sensation) – it may start same treatments. -
Physiological Feelings T ⁎ Edward F
Neuroscience and Biobehavioral Reviews 103 (2019) 267–304 Contents lists available at ScienceDirect Neuroscience and Biobehavioral Reviews journal homepage: www.elsevier.com/locate/neubiorev Review article ☆ Physiological feelings T ⁎ Edward F. Pace-Schotta, , Marlissa C. Amoleb, Tatjana Auec, Michela Balconid, Lauren M. Bylsmab, Hugo Critchleye, Heath A. Demareef, Bruce H. Friedmang, Anne Elizabeth Kotynski Goodingf, Olivia Gosseriesh, Tanja Jovanovici, Lauren A.J. Kirbyj, Kasia Kozlowskak, Steven Laureysh, Leroy Lowel, Kelsey Mageef, Marie-France Marinm, Amanda R. Mernerf, Jennifer L. Robinsonn, Robert C. Smitho, Derek P. Spanglerp, Mark Van Overveldq, Michael B. VanElzakkerr a Harvard Medical School, Boston, MA, USA b University of Pittsburgh, Pittsburgh, PA, USA c University of Bern, Bern, Switzerland d Catholic University of Milan, Milan, Italy e University of Sussex, Sussex, UK f Case Western Reserve University, Cleveland, OH, USA g Virginia Tech, Blacksburg, VA, USA h University of Liege, Liege, Belgium i Emory University, Atlanta, GA, USA j University of Texas at Tyler, Tyler, TX, USA k University of Sydney, Sydney, Australia l Neuroqualia (NGO), Truro, Nova Scotia, Canada m Université du Québec à Montréal, Montreal, Canada n Auburn University, Auburn, AL, USA o Michigan State University, East Lansing, MI, USA p United States Army Research Laboratory, Aberdeen, MD, USA q Erasmus University Rotterdam, Rotterdam, the Netherlands r Massachusetts General Hospital, Boston, MA, USA ARTICLE INFO ABSTRACT Keywords: The role of peripheral physiology in the experience of emotion has been debated since the 19th century fol- Emotion lowing the seminal proposal by William James that somatic responses to stimuli determine subjective emotion. Feelings Subsequent views have integrated the forebrain's ability to initiate, represent and simulate such physiological Interoception events. -
The Sniffin' Sticks Parosmia Test (Ssparot)
www.nature.com/scientificreports OPEN Assessment of odor hedonic perception: the Snifn’ sticks parosmia test (SSParoT) David T. Liu1, Antje Welge‑Lüssen2, Gerold Besser1, Christian A. Mueller1* & Bertold Renner3,4 Qualitative olfactory dysfunction is characterized as distorted odor perception and can have a profound efect on quality of life of afected individuals. Parosmia and phantosmia represent the two main subgroups of qualitative impairment and are currently diagnosed based on patient history only. We have developed a test method which measures qualitative olfactory function based on the odors of the Snifn’ Sticks Identifcation subtest. The newly developed test is called Snifn’ Sticks Parosmia Test (SSParoT). SSParoT uses hedonic estimates of two oppositely valenced odors (pleasant and unpleasant) to assess hedonic range (HR) and hedonic direction (HD), which represent qualitative olfactory perception. HR is defned as the perceivable hedonic distance between two oppositely valenced odors, while HD serves as an indicator for overall hedonic perception of odors. This multicenter study enrolled a total of 162 normosmic subjects in four consecutive experiments. Cluster analysis was used to group odors from the 16‑item Snifn’ Sticks Identifcation test and 24‑additional odors into clusters with distinct hedonic properties. Eleven odor pairs were found to be suitable for estimation of HR and HD. Analysis showed agreement between test–retest sessions for all odor pairs. SSparoT might emerge as a valuable tool to assess qualitative olfactory function in health and disease. Te sense of smell enables us to interact with our environment and olfactory impairment results in a loss of critical information. Olfactory disorders (OD) can be classifed into two major groups: Reduced perception of odor intensity (quantitative impairment) and distorted odor perception (qualitative impairment). -
Clinical Diagnosis and Treatment of Olfactory Dysfunction
Clinical Diagnosis and Treatment of Olfactory Dysfunction Seok Hyun Cho Hanyang Med Rev 2014;34:107-115 http://dx.doi.org/10.7599/hmr.2014.34.3.107 Department of Otorhinolaryngology-Head and Neck Surgery, Hanyang University College of Medicine, Seoul, Korea pISSN 1738-429X eISSN 2234-4446 Olfactory dysfunction is a relatively common disorder that is often under-recognized by Correspondence to: Seok Hyun Cho Department of Otorhinolaryngology-Head both patients and clinicians. It occurs more frequently in older ages and men, and decreases and Neck Surgery, Hanyang University patients’ quality of life, as olfactory dysfunction may affect the emotion and memory func- Hospital, 222 Wangsimni-ro, Seongdong-gu, tions. Three main causes of olfactory dysfunction are sinonasal diseases, upper respiratory Seoul 133-792, Korea Tel: +82-2-2290-8583 viral infection, and head trauma. Olfactory dysfunction is classified quantitatively (hypos- Fax: +82-2-2293-3335 mia and anosmia) and qualitatively (parosmia and phantosmia). From a pathophysiologi- E-mail: [email protected] cal perspective, olfactory dysfunction is also classified by conductive or sensorineural types. All patients with olfactory dysfunction will need a complete history and physical examina- Received 17 April 2014 Revised 23 June 2014 tion to identify any possible or underlying causes and psychophysical olfactory tests are Accepted 3 July 2014 essential to estimate the residual olfactory function, which is the most important prognos- This is an Open Access article distributed under tic factor. CT or MRI may be adjunctively used in some indicated cases such as head trauma the terms of the Creative Commons Attribution and neurodegenerative disorders. -
Brain Gas Jay Hosler
Brain Gas Jay Hosler Consider the possibility that any man could, if he were so inclined, be the sculptor of his own brain. -Santiago Ramon y Cajal he fact that learning changes the brain in some fundamen- tal way is something many of us take for granted. But, in doing so, we fail to consider the wondrous nature of the event. Our Texperiences can lead to substantial changes in the physical, chem- ical and electrical architecture of our brains. These changes may give us the ability to memorize our favorite poem, sight-read a song we have never heard or remember the smell of our grandparents’ home. By restructuring our brains, we construct memories that can change our behavior and persist throughout our entire lives. My interests lie in how memories of odors are established. Odors play a fundamental role in the lives of most animals in directing reproductive behavior, guiding the search for food and communicating with friends and rivals. But despite odors’ pivotal role, olfaction may well be the most mysterious and hard to describe of our senses. In her book A Natural History of the Senses, Diane Ackerman points out the difficulty we have in describing ______________ Bookend Seminar Presentation, October 10, 2001 2002 39 smells. While we can identify colors in very specific terms (“that apple is red”), we tend to describe odors in terms of something else (“that smells fruity”) or in terms of how they make us feel (“that smells disgusting”). Perhaps it is difficult because smell is our most ancient sense. Unlike visual information that gets processed in our large and wrinkly cerebral cortex, the first stop for olfactory infor- mation is an ancient part of our brain called limbic system.