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Obstetrics & Gynecology

The Department of Obstetrics and Gynecology at the Medical College of Georgia at Augusta University is a comprehensive clinical service and educational department, specializing in the healthcare of women both on a primary and referral basis. We provide quality clinical services in following areas: General Obstetrics and Gynecology, Gynecologic Oncology, Maternal-Fetal Medicine, Reproductive Endocrinology, Infertility, and Genetics, and Urogynecology and Pelvic Surgery.

General Obstetrics and Gynecology provides a full range of general obstetrical and gynecological services ranging from outpatient care to surgery, and from routine visits to complicated consultations. In addition to normal obstetrical and gynecological services, our specialized research and interest areas include urodynamics, dysmenorrhea, menorrhagia, pelvic pain, menopause, and others.

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Obstetrics & Gynecology

History of neuroscience – Wikipedia

From the ancient Egyptian mummifications to 18th century scientific research on "globules" and neurons, there is evidence of neuroscience practice throughout the early periods of history. The early civilizations lacked adequate means to obtain knowledge about the human brain. Their assumptions about the inner workings of the mind, therefore, were not accurate. Early views on the function of the brain regarded it to be a form of "cranial stuffing" of sorts. In ancient Egypt, from the late Middle Kingdom onwards, in preparation for mummification, the brain was regularly removed, for it was the heart that was assumed to be the seat of intelligence. According to Herodotus, during the first step of mummification: "The most perfect practice is to extract as much of the brain as possible with an iron hook, and what the hook cannot reach is mixed with drugs." Over the next five thousand years, this view came to be reversed; the brain is now known to be the seat of intelligence, although colloquial variations of the former remain as in "memorizing something by heart".

The Edwin Smith Surgical Papyrus, written in the 17th century BC, contains the earliest recorded reference to the brain. The hieroglyph for brain, occurring eight times in this papyrus, describes the symptoms, diagnosis, and prognosis of two patients, wounded in the head, who had compound fractures of the skull. The assessments of the author (a battlefield surgeon) of the papyrus allude to ancient Egyptians having a vague recognition of the effects of head trauma. While the symptoms are well written and detailed, the absence of a medical precedent is apparent. The author of the passage notes "the pulsations of the exposed brain" and compared the surface of the brain to the rippling surface of copper slag (which indeed has a gyral-sulcal pattern). The laterality of injury was related to the laterality of symptom, and both aphasia ("he speaks not to thee") and seizures ("he shutters exceedingly") after head injury were described. Observations by ancient civilizations of the human brain suggest only a relative understanding of the basic mechanics and the importance of cranial security. Furthermore, considering the general consensus of medical practice pertaining to human anatomy was based on myths and superstition, the thoughts of the battlefield surgeon appear to be empirical and based on logical deduction and simple observation.[1][2]

During the second half of the first millennium BC, the Ancient Greeks developed differing views on the function of the brain. However, due to the fact that Hippocratic doctors did not practice dissection, because the human body was considered sacred, Greek views of brain function were generally uninformed by anatomical study. It is said that it was the Pythagorean Alcmaeon of Croton (6th and 5th centuries BC) who first considered the brain to be the place where the mind was located. According to ancient authorities, "he believed the seat of sensations is in the brain. This contains the governing faculty. All the senses are connected in some way with the brain; consequently they are incapable of action if the brain is disturbed...the power of the brain to synthesize sensations makes it also the seat of thought: The storing up of perceptions gives memory and belief and when these are stabilized you get knowledge."[2] In the 4th century BC Hippocrates, believed the brain to be the seat of intelligence (based, among others before him, on Alcmaeon's work). During the 4th century BC Aristotle thought that, while the heart was the seat of intelligence, the brain was a cooling mechanism for the blood. He reasoned that humans are more rational than the beasts because, among other reasons, they have a larger brain to cool their hot-bloodedness.[3]

In contrast to Greek thought regarding the sanctity of the human body, the Egyptians had been embalming their dead for centuries, and went about the systematic study of the human body. During the Hellenistic period, Herophilus of Chalcedon (c.335/330280/250 BC) and Erasistratus of Ceos (c. 300240 BC) made fundamental contributions not only to brain and nervous systems' anatomy and physiology, but to many other fields of the bio-sciences. Herophilus not only distinguished the cerebrum and the cerebellum, but provided the first clear description of the ventricles. Erasistratus used practical application by experimenting on the living brain. Their works are now mostly lost, and we know about their achievements due mostly to secondary sources. Some of their discoveries had to be re-discovered a millennium after their death.[2]

During the Roman Empire, the Greek anatomist Galen dissected the brains of sheep, monkeys, dogs, swine, among other non-human mammals. He concluded that, as the cerebellum was denser than the brain, it must control the muscles, while as the cerebrum was soft, it must be where the senses were processed. Galen further theorized that the brain functioned by movement of animal spirits through the ventricles. "Further, his studies of the cranial nerves and spinal cord were outstanding. He noted that specific spinal nerves controlled specific muscles, and had the idea of the reciprocal action of muscles. For the next advance in understanding spinal function we must await Bell and Magendie in the 19th Century."[2][3]

Andreas Vesalius noted many structural characteristics of both the brain and general nervous system during his dissections of human cadavers.[4] In addition to recording many anatomical features such as the putamen and corpus collusum, Vesalius proposed that the brain was made up of seven pairs of 'brain nerves', each with a specialized function. Other scientists including Leonardo da Vinci furthered Vesalius' work by adding their own detailed sketches of the human brain. Ren Descartes also studied the physiology of the brain, proposing the theory of dualism to tackle the issue of the brain's relation to the mind. He suggested that the pineal gland was where the mind interacted with the body after recording the brain mechanisms responsible for circulating cerebrospinal fluid.[5]Thomas Willis studied the brain, nerves, and behavior to develop neurologic treatments. He described in great detail the structure of the brainstem, the cerebellum, the ventricles, and the cerebral hemispheres.

The role of electricity in nerves was first observed in dissected frogs by Luigi Galvani in the second half of the 18th century. In the 1820s, Jean Pierre Flourens pioneered the experimental method of carrying out localized lesions of the brain in animals describing their effects on motricity, sensibility and behavior. Richard Caton presented his findings in 1875 about electrical phenomena of the cerebral hemispheres of rabbits and monkeys. Studies of the brain became more sophisticated after the invention of the microscope and the development of a staining procedure by Camillo Golgi during the late 1890s that used a silver chromate salt to reveal the intricate structures of single neurons. His technique was used by Santiago Ramn y Cajal and led to the formation of the neuron doctrine, the hypothesis that the functional unit of the brain is the neuron. Golgi and Ramn y Cajal shared the Nobel Prize in Physiology or Medicine in 1906 for their extensive observations, descriptions and categorizations of neurons throughout the brain. The hypotheses of the neuron doctrine were supported by experiments following Galvani's pioneering work in the electrical excitability of muscles and neurons. In the late 19th century, Emil du Bois-Reymond, Johannes Peter Mller, and Hermann von Helmholtz showed neurons were electrically excitable and that their activity predictably affected the electrical state of adjacent neurons.

In parallel with this research, work with brain-damaged patients by Paul Broca suggested that certain regions of the brain were responsible for certain functions.[6]

Neuroscience during the twentieth century began to be recognized as a distinct unified academic discipline, rather than studies of the nervous system being a factor of science belonging to a variety of disciplines.

Broca's hypothesis was supported by observations of epileptic patients conducted by John Hughlings Jackson, who correctly deduced the organization of motor cortex by watching the progression of seizures through the body. Carl Wernicke further developed the theory of the specialization of specific brain structures in language comprehension and production. Modern research still uses the Korbinian Brodmann's cytoarchitectonic (referring to study of cell structure) anatomical definitions from this era in continuing to show that distinct areas of the cortex are activated in the execution of specific tasks.[6]Eric Kandel and collaborators have cited David Rioch, Francis O. Schmitt, and Stephen Kuffler as having played critical roles in establishing the field.[7] Rioch originated the integration of basic anatomical and physiological research with clinical psychiatry at the Walter Reed Army Institute of Research, starting in the 1950s. During the same period, Schmitt established a neuroscience research program within the Biology Department at the Massachusetts Institute of Technology, bringing together biology, chemistry, physics, and mathematics. The first freestanding neuroscience department (then called Psychobiology) was founded in 1964 at the University of California, Irvine by James L. McGaugh. Kuffler started the Department of Neuroscience at Harvard Medical School in 1966.

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History of neuroscience - Wikipedia

Biochemistry

Welcome to the home page of one of the fastest growing departments of biochemistry in the U.S., where our faculty have developed superb educational and research programs. Learn more about our department.

Charles Brenner, PhD Chair and DEO, Department of Biochemistry

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Biochemistry

ST genetics

Females calving heifers in their first two pregnancies produce up to 981 lbs. more milk over the two lactations than females calving back-to-back males.

(Hinde K, et al, (2014), Holsteins Favor Heifers, Not Bulls: Biased Milk Production Programmed during Pregnancy as a Function of Fetal Sex. PLoS ONE 9(2): e86169. doi:10.1371/journal.pone.0086169)

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ST genetics

Genetics – Advocate Health Care

The Division of Genetics at Advocate Medical Group offers a team of genetic specialists to help individuals and families navigate the complex arena of genetics and genomics. We are committed to the diagnosis, management, and treatment of patients with genetic disorders.

Our specially trained clinical geneticists and genetic counselors provide a full range of services including:

We guide families facing hereditary and genetic disorders through complicated genetic issues in an easy-to-understand manner and provide educational resources helpful to your understanding of a genetic disorder. Our specialists can also help you identify support groups and social services, and coordinate and refer you to appropriate specialty providers based on your diagnosis.

The Division of Genetics offers comprehensive care that extends beyond genetic counseling and diagnosis. Our patients have access to multidisciplinary clinics that offer exceptional, compassionate care to children and adults with a variety of genetic disorders. Individuals in these multidisciplinary clinics have the opportunity to be evaluated by an experienced treatment team which includes multiple specialists from different healthcare disciplines.

Our specialists will determine which genetic tests are most appropriate for your particular situation. We discuss the risks, benefits, and limitations of genetic testing, as well as the emotional issues of a diagnosis and knowing your risk.

The Advocate Medical Group Genetics offers a range of services.

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Genetics - Advocate Health Care

Neuroscience Care at OhioHealth | Columbus Neurology and …

Multiple Sclerosis

At OhioHealth, patients with multiple sclerosis (MS) have access to personalized care all in one place by an interdisciplinary team of specialists who, together, provide comprehensive care throughout the course of their disease. From our MS Clinic to our weekly lectures and support groups, we help MS patients manage their unique symptoms and needs.

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Neuroscience Care at OhioHealth | Columbus Neurology and ...

Eye Specialists of Mid-Florida, P.A.

Education:

Bachelor of Science

Ashland College Ashland, OH 1970

Doctor of Medicine

University of Florida Gainesville, FL 1976

Doctor of Philosophy (Biochemistry)

University of Florida Gainesville, FL 1976

Internship

University of Florida Gainesville, FL 6/76 6/77

Ophthalmology Residency

University of Florida

Gainesville, FL 6/77 6/80

Specialties:

Cataract & Laser Surgery

Locations:

Winter Haven, FL

Sebring, FL

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Eye Specialists of Mid-Florida, P.A.

Department of Cell Biology

Inhibitory synapses act as the brakes in the brain, preventing it from becoming overexcited. Researchers thought they were less sophisticated than their excitatory counterparts because relatively few proteins were known to exist at these structures. But a new study by the Soderling Lab, published Sept. 9 in Science, overturns that assumption, uncovering 140 proteins that have never been mapped to inhibitory synapses. Its like these proteins were locked away in a safe for over 50 years, and we believe that our study has cracked open the safe, said the studys senior investigator Scott Soderling, an Associate Professor of Cell Biology and Neurobiology at Duke. And theres a lot of gems. In particular, 27 of these proteins have already been implicated by genome-wide association studies as having a role in autism, intellectual disability and epilepsy, Soderling said, suggesting that their mechanisms at the synapse could provide new avenues to the understanding and treatment of these disorders. You can read more about this research on Duke Today.

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Department of Cell Biology

Instinct – Wikipedia

Instinct or innate behavior is the inherent inclination of a living organism towards a particular complex behavior. The simplest example of an instinctive behavior is a fixed action pattern (FAP), in which a very short to medium length sequence of actions, without variation, are carried out in response to a clearly defined stimulus.

Any behavior is instinctive if it is performed without being based upon prior experience (that is, in the absence of learning), and is therefore an expression of innate biological factors. Sea turtles, newly hatched on a beach, will automatically move toward the ocean. A kangaroo climbs into its mother's pouch upon being born. Honeybees communicate by dancing in the direction of a food source without formal instruction. Other examples include animal fighting, animal courtship behavior, internal escape functions, and the building of nests.

Instincts are inborn complex patterns of behavior that exist in most members of the species, and should be distinguished from reflexes, which are simple responses of an organism to a specific stimulus, such as the contraction of the pupil in response to bright light or the spasmodic movement of the lower leg when the knee is tapped. The absence of volitional capacity must not be confused with an inability to modify fixed action patterns. For example, people may be able to modify a stimulated fixed action pattern by consciously recognizing the point of its activation and simply stop doing it, whereas animals without a sufficiently strong volitional capacity may not be able to disengage from their fixed action patterns, once activated.[1]

The role of instincts in determining the behavior of animals varies from species to species. The more complex the neural system of an animal, the greater is the role of the cerebral cortex and social learning, and instincts play a lesser role. A comparison between a crocodile and an elephant illustrates how mammals for example are heavily dependent on social learning. Lionesses and chimpanzees raised in zoos away from their birth mothers most often reject their own offspring because they have not been taught the skills of mothering.[citation needed] Such is not the case with simpler species such as reptiles.

In everyday speech, the word instinct is often used to refer to intuition or even clairvoyance.

Jean Henri Fabre, an entomologist, considered instinct to be any behavior which did not require cognition or consciousness to perform. Fabre's inspiration was his intense study of insects, some of whose behaviors he wrongly considered fixed and not subject to environmental influence.[2]

Instinct as a concept fell out of favor in the 1920s with the rise of behaviorism and such thinkers as B. F. Skinner, which held that most significant behavior is learned. These beliefs, like Fabre's belief that most behaviors were simply reflexive, also proved to be too simplistic to account for the complex emotional and social behavior of human beings.

An interest in innate behaviors arose again in the 1950s with Konrad Lorenz and Nikolaas Tinbergen, who made the distinction between instinct and learned behaviors. Our modern understanding of instinctual behavior in animals owes much to their work. For instance, there exists a sensitive period for a bird in which it learns the identity of its mother. Konrad Lorenz famously had a goose imprint on his boots. Thereafter the goose would follow whoever wore the boots. The identity of the goose's mother was learned, but the goose's behavior towards the boots was instinctive.[citation needed]

The term "instinct" in psychology was first used in the 1870s by Wilhelm Wundt. By the close of the 19th century, most repeated behavior was considered instinctual. In a survey of the literature at that time, one researcher chronicled 4,000 human "instincts," having applied this label to any behavior that was repetitive.[citation needed] As research became more rigorous and terms better defined, instinct as an explanation for human behavior became less common. In a conference in 1960, chaired by Frank Beach, a pioneer in comparative psychology, and attended by luminaries in the field, the term was restricted in its application.[citation needed] During the 1960s and 1970s, textbooks still contained some discussion of instincts in reference to human behavior. By the year 2000, a survey of the 12 best selling textbooks in Introductory Psychology revealed only one reference to instincts, and that was in regard to Sigmund Freud's referral to the "id" instincts.[citation needed]. In this sense, instincts appeared to have become regarded as increasingly superfluous in trying to understand human psychological behavior.

Psychologist Abraham Maslow argued that humans no longer have instincts because we have the ability to override them in certain situations. He felt that what is called instinct is often imprecisely defined, and really amounts to strong drives. For Maslow, an instinct is something which cannot be overridden, and therefore while the term may have applied to humans in the past, it no longer does.[3]

The book Instinct (1961) established a number of criteria which distinguish instinctual from other kinds of behavior. To be considered instinctual, a behavior must: a) be automatic, b) be irresistible, c) occur at some point in development, d) be triggered by some event in the environment, e) occur in every member of the species, f) be unmodifiable, and g) govern behavior for which the organism needs no training (although the organism may profit from experience and to that degree the behavior is modifiable).[4]

In a classic paper published in 1972,[5] the psychologist Richard Herrnstein decries Fabre's opinions on instinct (see: In biology section).

In Information behavior: An Evolutionary Instinct (2010, pp.3542), Amanda Spink notes that "currently in the behavioral sciences instinct is generally understood as the innate part of behavior that emerges without any training or education in humans." She claims that the viewpoint that information behavior has an instinctive basis is grounded in the latest thinking on human behavior. Furthermore, she notes that "behaviors such as cooperation, sexual behavior, child rearing and aesthetics are [also] seen as 'evolved psychological mechanisms' with an instinctive basis."[6][7][8] Spink adds that Steven Pinker similarly asserts that language acquisition is instinctive in humans in his book The Language Instinct (1994).

Examples of behaviors that do not require conscious will include many reflexes. The stimulus in a reflex may not require brain activity but instead may travel to the spinal cord as a message that is then transmitted back through the body, tracing a path called the reflex arc. Reflexes are similar to fixed action patterns in that most reflexes meet the criteria of a FAP. However, a fixed action pattern can be processed in the brain as well; a male stickleback's instinctive aggression towards anything red during his mating season is such an example. Examples of instinctive behaviors in humans include many of the primitive reflexes, such as rooting and suckling, behaviors which are present in mammals. In rats, it has been observed that innate responses are related to specific chemicals, and these chemicals are detected by two organs located in the nose: the vomeronasal organ (VNO) and the main olfactory epithelium (MOE).[9]

Some instinctive behaviors depend on maturational processes to appear. For instance, we commonly refer to birds "learning" to fly. However, young birds have been experimentally reared in devices that prevent them from moving their wings until they reached the age at which their cohorts were flying. These birds flew immediately and normally when released, showing that their improvement resulted from neuromuscular maturation and not true learning.[10]

An example of instinct is imprinting[according to whom?]. This is a complex response that involves visual, auditory, and olfactory cues in the environment surrounding an organism. In some cases, imprinting attaches an offspring to its parent, which is a reproductive benefit to offspring survival.[11] If an offspring has attachment to a parent, it is more likely to stay nearby under parental protection. Attached offspring are also more likely to learn from a parental figure when interacting that closely. Reproductive benefits are a driving force behind natural selection.

Environment is an important factor in how innate behavior has evolved. A hypothesis of Michael McCollough, a positive psychologist, explains that environment plays a key role in human behaviors such as forgiveness and revenge. This hypothesis theorizes that various social environments cause either forgiveness or revenge to be prevalent. McCollough relates his theory to game theory.[12] In a tit-for-tat strategy, cooperation and retaliation are comparable to forgiveness and revenge. The choice between the two can be beneficial or detrimental depending on what the partner organism chooses. Though this psychological example of game theory does not have as directly measurable results, it provides an interesting theory of unique thought. From a more biological standpoint, the limbic system is the main control area for response to certain stimuli, which includes a variety of instinctual behavior. The limbic system processes external stimuli related to emotions, social activity, and motivation, which propagates a behavioral response. Some behaviors include maternal care, aggression, defense, and social hierarchy. These behaviors are influenced by sensory inputsight, sound, touch, and smell.

Within the circuitry of the limbic system, there are various places where evolution could have taken place, or could take place in the future. For example, many rodents have receptors in the vomeronasal organ that are explicitly for predator stimuli that specifically relate to that individual species of rodent. The reception of a predatory stimulus usually creates a response of defense or fear.[13] Mating in rats follows a similar mechanism. The vomeronasal organ and the main olfactory epithelium, together called the olfactory system, detect pheromones from the opposite sex. These signals are then sent to the medial amygdala, which disperses the signal to a variety of brain parts. The pathways involved with innate circuitry are extremely specialized and specific.[14] Various organs and sensory receptors are involved in this complex process.

Instinct is a phenomenon that can be investigated from a multitude of angles: genetics, limbic system, nervous pathways, and environment. There are levels of instincts from molecular to groups of individuals that can be studied as well. Extremely specialized systems have evolved to create individuals who exhibit behaviors without learning them. Innate behavior is an important and interesting aspect of the biological world that people come into contact with every day.

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Instinct - Wikipedia