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Lack of "Mirror Neurons" May Help Explain Autism
Scientific American ^ | December 05, 2005 | David Biello

Posted on 07/22/2006 10:55:10 AM PDT by neverdem

More than one in 500 children have some form of autism, according to the Centers for Disease Control. All autistic children suffer from an impaired ability to communicate and relate to others, but some of them are able to socially interact to a greater degree than their peers. A recent study of a group of these so-called high functioning autistics suggests the neurological basis for their social impairment.

Neuroscientist Mirella Dapretto of the University of California Los Angeles and her colleagues surveyed the brains of 10 autistic children and an equal number of nonautistic children as they watched and imitated 80 different faces displaying either anger, fear, happiness, sadness or no emotion. By measuring the amount of blood flowing to certain regions of the children's brains with a magnetic resonance imaging (MRI) machine, the researchers could determine what parts of the brain were being used as the subjects completed the tasks. The autistic children differed from their peers in only one respect: each showed reduced activity in the pars opercularis of the inferior frontal gyrus--a brain region located near the temple.

This section of the brain has been shown by other studies to be part of the so-called mirror neuron system, which allows humans to understand the intentions of other human beings by observing their actions or imitating their behavior. When damaged, it can interfere with speech.

Although the high-functioning autistic children were able to imitate the facial expressions, they had trouble understanding the corresponding emotional state. The study suggests that the incompletely activated mirror neuron system is to blame. In fact, the less blood that flowed to this region of the brain in each autistic child, the less social ability that child showed--providing more support for the apparent link. The research appears in the current issue of Nature Neuroscience.


TOPICS: Culture/Society; Extended News; News/Current Events
KEYWORDS: aspergersyndrome; autism; brain; health; mentalhealth
I'm aware the latest number about the prevalence of autistic spectrum disorder is about 1 in 166.

High functioning autistics sound like folks with Asperger syndrome. My question is using functional magnetic resonance imaging(fMRI), which is what they appeared to have used, worth it for ruling this particular diagnosis, Asperger syndrome, in or out with respect to any decisions about therapy?

1 posted on 07/22/2006 10:55:12 AM PDT by neverdem
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To: Incorrigible

ping


2 posted on 07/22/2006 11:00:39 AM PDT by neverdem (May you be in heaven a half hour before the devil knows that you're dead.)
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To: PatrickHenry

pingworthy?


3 posted on 07/22/2006 11:01:33 AM PDT by King Prout (many complain I am overly literal... this would not be a problem if fewer people were under-precise)
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To: neverdem

Good post.


4 posted on 07/22/2006 11:05:27 AM PDT by FreeRep
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To: King Prout; b_sharp; Ichneumon; longshadow; CarolinaGuitarman; Thatcherite; Coyoteman; js1138; ...
It's interesting, but it's probably not an evo topic. I'll ping "the few."
5 posted on 07/22/2006 11:05:46 AM PDT by PatrickHenry (The Enlightenment gave us individual rights, free enterprise, and the theory of evolution.)
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To: neverdem

That is a good question. I have a 5-year old nephew who appears to be border-line autistic. He has improved since he started going to a pre-school specializing in autism.

I sometimes wonder if I am, as well. I have trouble understanding the emotions of others. Sometimes I think dyslexic I am, as well.


6 posted on 07/22/2006 11:11:59 AM PDT by jimtorr
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To: PatrickHenry
This is interesting. Many of the 'geeks' I know, including myself, suffer from poor social skills and a lack of empathy. As a youth I found school work to be a breeze but interactions with my peers extremely difficult.

It is somewhat satisfying to be able to put a name to the problem.

7 posted on 07/22/2006 11:23:40 AM PDT by b_sharp (Why bother with a tagline? Even they eventually wear out! (Second Law of Taglines))
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To: neverdem

if it is a matter of bloodflow and, thus, oxygenation and ATP supply, would a careful diet and high-O2 hyperbaric therapy have any ameliorative effect?


8 posted on 07/22/2006 11:27:09 AM PDT by King Prout (many complain I am overly literal... this would not be a problem if fewer people were under-precise)
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To: neverdem

From what respect, financial or possible side effect of the MRI? If the MRI would help the person with the condition, what would be the downside?


9 posted on 07/22/2006 11:40:24 AM PDT by Excellence (Since November 6, 1998)
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To: King Prout; El Gato; Ernest_at_the_Beach; Robert A. Cook, PE; lepton; LadyDoc; jb6; tiamat; ...
if it is a matter of bloodflow and, thus, oxygenation and ATP supply, would a careful diet and high-O2 hyperbaric therapy have any ameliorative effect?

These other studies, while they are preliminary, imply a neuroanatomical problem.

Eye Contact Triggers Threat Response in Autistic Children

Autistic Males Have Fewer Neurons in Amygdala

FReepmail me if you want on or off my health and science ping list.

10 posted on 07/22/2006 11:44:29 AM PDT by neverdem (May you be in heaven a half hour before the devil knows that you're dead.)
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To: neverdem

has anyone attempted glial-cell injection therapy?


11 posted on 07/22/2006 11:52:18 AM PDT by King Prout (many complain I am overly literal... this would not be a problem if fewer people were under-precise)
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To: Excellence

MRI and fMRI are diagnostic, not therapeutic, tools.


12 posted on 07/22/2006 11:53:00 AM PDT by King Prout (many complain I am overly literal... this would not be a problem if fewer people were under-precise)
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To: jimtorr

Those of us who are dyslexic just wonk it.


13 posted on 07/22/2006 11:55:21 AM PDT by Doctor Stochastic (Vegetabilisch = chaotisch ist der Charakter der Modernen. - Friedrich Schlegel)
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To: jimtorr
I sometimes wonder if I am, as well. I have trouble understanding the emotions of others.

It's very simple. Men's actual emotions are what their face suggests. Women's actual emotions are the opposite of what their face suggests.
14 posted on 07/22/2006 11:58:19 AM PDT by Seamoth (Kool-aid is the most addictive and destructive drug of them all.)
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To: Excellence; Polybius
From what respect, financial or possible side effect of the MRI? If the MRI would help the person with the condition, what would be the downside?

The cost of fMRI is one thing. I'd be surprised if it's less than $500 a scan. That would be basically to confirm a suspected case of Asperger syndrome. Maybe I can get a radiology consult?

I'm unaware of any possible adverse side effect of any MRI except for the hazard of any hardware that will be affected by the magnetic field.

I guess my question is there any significant difference in treatment between those diagnosed with classic autism and those with Asperger syndrome?

15 posted on 07/22/2006 12:03:52 PM PDT by neverdem (May you be in heaven a half hour before the devil knows that you're dead.)
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To: b_sharp
... poor social skills and a lack of empathy ...

Yes. It's difficult for me to have empathy when I'm surround by fools!!!

16 posted on 07/22/2006 12:04:13 PM PDT by PatrickHenry (The Enlightenment gave us individual rights, free enterprise, and the theory of evolution.)
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To: neverdem

Internesting. Thanks for posting this!


17 posted on 07/22/2006 12:20:08 PM PDT by patriciaruth (http://www.freerepublic.com/focus/f-news/1562436/posts)
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To: PatrickHenry
It's difficult for me to have empathy when I'm surround by fools!!!

Having them killed and eaten works for me

18 posted on 07/22/2006 12:27:18 PM PDT by SauronOfMordor (A planned society is most appealing to those with the arrogance to think they will be the planners)
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To: neverdem; Excellence
The cost of fMRI is one thing. I'd be surprised if it's less than $500 a scan. That would be basically to confirm a suspected case of Asperger syndrome. Maybe I can get a radiology consult? I'm unaware of any possible adverse side effect of any MRI except for the hazard of any hardware that will be affected by the magnetic field.

The cost would be far higher than $500. It would vary in every setting from free if are low-income on Medic-Aid to paying through the nose if you are uninsured with a good job.

Gadolinium (MRI contrast agent) allergies would run at about 0.5%.

Ferrous metal mixed with stupidity would be the biggest risk.

The recent tragic death in New York of a young boy in an MRI system highlights the fact that failure to keep steel objects a safe distance from an imaging magnet can have lethal consequences. The boy was killed, unfortunately, when an emergency team entered the MRI suite carrying an oxygen bottle and the latter became a guided missile, entering the bore of the magnet with overwhelming force.

19 posted on 07/22/2006 12:27:58 PM PDT by Polybius
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To: neverdem

What is the rate of autism in other countries?


20 posted on 07/22/2006 12:41:04 PM PDT by Dr. Bogus Pachysandra ("Don't touch that thing")
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To: neverdem
My sixteen year old grandson was diagnosed as autistic as a youngster. He was very late speaking, no eye contact, and they had to keep the doors locked to keep him from running away from home. Not that he wanted to run away from home but it seems to be a characteristic that they just go for the sake of going somewhere. They do not realize where they are.

He went to more than one preschool but has always been in a regular classroom but also had special ed.

The kid has turned out to be something fantastic. This is more than anyone could have ever hoped for. Everyone is getting tired of hearing about him but it seems that if it has turned out this way for Adam, it might turn out this way for more autistic children that they would ever expect.

I have a friend who has a 6 year old grandson with the same characteristics. I keep telling my friend to have hope that they may also have a happy ending.

21 posted on 07/22/2006 12:44:20 PM PDT by Conservativegreatgrandma
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To: neverdem; All
Neat article! Thanks for posting it.

Some of the posters on this thread might be interested in this... Take The AQ Test [Autism Spectrum Quotient Test]

Psychologist Simon Baron-Cohen and his colleagues at Cambridge's Autism Research Centre have created the Autism-Spectrum Quotient, or AQ, as a measure of the extent of autistic traits in adults.

22 posted on 07/22/2006 1:18:00 PM PDT by syriacus (Big Brother MSM is "watching out for us," making sure we get the "correct" slant on world events.)
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To: King Prout
has anyone attempted glial-cell injection therapy?

With respect to autism or autistic spectrum disorder according to PubMed, no.

23 posted on 07/22/2006 1:19:16 PM PDT by neverdem (May you be in heaven a half hour before the devil knows that you're dead.)
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To: Polybius

Thanks for the consult!


24 posted on 07/22/2006 1:22:24 PM PDT by neverdem (May you be in heaven a half hour before the devil knows that you're dead.)
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To: Dr. Bogus Pachysandra
What is the rate of autism in other countries?

I've read that it's fairly uniform around the world, and that there's been no change in incidence since thimerosal was discontinued as a vaccine preservative.

25 posted on 07/22/2006 1:28:26 PM PDT by neverdem (May you be in heaven a half hour before the devil knows that you're dead.)
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To: syriacus

Thanks for the link!


26 posted on 07/22/2006 1:29:41 PM PDT by neverdem (May you be in heaven a half hour before the devil knows that you're dead.)
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To: syriacus

Cool link. My AQ test score is 26. Slightly above avg.


27 posted on 07/22/2006 2:02:37 PM PDT by PioneerDrive (cursing the darkness)
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To: neverdem

bump


28 posted on 07/22/2006 2:07:30 PM PDT by tutstar (Baptist ping list-freepmail to get on or off)
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To: neverdem

Lack of "Any neurons" may explain liberalism


29 posted on 07/22/2006 2:09:20 PM PDT by MadLibDisease ("Women and cats will do as they please and men and dogs should relax and get used to it" R .Heinlein)
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To: neverdem

Nice. Thanks for the ping.


30 posted on 07/22/2006 3:10:30 PM PDT by GOPJ (Evolution: It's not "one" missing link - ALL the links are missing.)
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To: PioneerDrive

I got 25, but many of the questions were so badly stated that I would have had to pass if possible.

Museum or theatre? Which museum (Smithsonian vs Ft. Garland CO?) Which theatre (Bass Music Hall for Messiah or Orlando's Odeon Theatre showing "Plan Nine from Outer Space" Director's Cut?) Hardly enough information.


31 posted on 07/22/2006 3:12:31 PM PDT by Doctor Stochastic (Vegetabilisch = chaotisch ist der Charakter der Modernen. - Friedrich Schlegel)
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To: Doctor Stochastic

Exactly right. A person's personality could explain a lot, also. Still, I was suprised at my above avg. score.


32 posted on 07/22/2006 3:59:25 PM PDT by PioneerDrive (cursing the darkness)
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To: Seamoth
Men's actual emotions are what their face suggests. Women's actual emotions are the opposite of what their face suggests.

Also Men's actual meanings are what their word suggests. Women's actual meanings are the opposite of what their word suggests. My straight-shooting wife being one of the rare exceptions, of course.

33 posted on 07/22/2006 4:19:18 PM PDT by Rytwyng (Only a Million Minuteman March can stop the Bush Border Betrayal!)
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To: Doctor Stochastic

I agree it is a poor test and questions seem to general, not at all appropriate coming from Cambridge University.


34 posted on 07/22/2006 4:33:40 PM PDT by FreeRep
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To: Tired of Taxes; DaveLoneRanger; Republicanprofessor

This is a facinating study about a problem that affects many families.


35 posted on 07/22/2006 5:06:59 PM PDT by Clintonfatigued (illegal aliens commit crimes that Americans won't commit)
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To: b_sharp; jimtorr
This is interesting. Many of the 'geeks' I know, including myself, suffer from poor social skills and a lack of empathy. As a youth I found school work to be a breeze but interactions with my peers extremely difficult. It is somewhat satisfying to be able to put a name to the problem.

I've wondered if I was an "Aspie" from time to time. I've always had trouble interacting with al ot of my peers too when I was a kid as well as developed more of an interest towards radio electronics (I'm listening to a KC-10 tanker on my police scanner as I type this, I'm also an amateur radio operator) and computers. I like history, science, space travel and technology with a passion. I do have more empathy than I did when I was younger though. Still there are times I've felt "like an alien in this world," a feeling common to people with Asperger's syndrome. I have been tested with a 132 IQ and labeled gifted in some areas. Back in 1979, I was put with a gifted group that had access to a TRS-80 computer. Although I've made great strides with empathy, the other stuff, well, I'm still a bit of a social klutz. I know self diagnosis is not the wat to go but I often wonder if I have Asperger's, something for me to find out if I can once I'm in a better situation.
36 posted on 07/22/2006 6:25:04 PM PDT by Nowhere Man (Michael Savage for President - 2008!)
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To: neverdem
Thanks for the link!
You're welcome.
37 posted on 07/22/2006 6:25:45 PM PDT by syriacus (Big Brother MSM is "watching out for us," making sure we get the "correct" slant on world events.)
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To: Nowhere Man

You sound like a slightly younger carbon copy of me, even to the IQ (mine is 133). My degrees are in Psychology and Computer Science.


38 posted on 07/22/2006 6:39:34 PM PDT by b_sharp (Why bother with a tagline? Even they eventually wear out! (Second Law of Taglines))
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To: neverdem; All

Thanks for posting. Interesting. Thanks to all contributors and linkers.


39 posted on 07/22/2006 8:06:02 PM PDT by PGalt
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To: b_sharp
You sound like a slightly younger carbon copy of me, even to the IQ (mine is 133). My degrees are in Psychology and Computer Science.

I turned 40 two weeks ago today. I went to college for computer information systems but money problems precluded me from finishing it so the highest diploma I have is high school. I do work in accounting for the ground division of a major shipping company. I guess I'm more of a "tinkerer," where I like to tinker with computers, radios, TV's, and so on. I did work in IT at one time but I did fall into accounting.

I'm just sitting here chilling a bit in the living room, watching a Godzilla movie on a locally hosted, horror picture program here in Pittsburgh while watching over one of my cats, Pansy, who is kind of sick now but I think she is recovering. She has a hyperactive thyroid, on meds for it, but we had a setback where we have to increase the dosage because she had fluid on her lungs that had to be drained at the vets yesterday. She just started to eat again today so I have to watch when she sits up, she wants to eat. Pansy will be 19 next month, she is my oldest of 7 cats, I had her since I was 21 (1987) I think she will come around.

One thing about Asperger's is thatm any of them, like me, tend to go into an encyclopedia type response when explaining something. I've got to find out when I get a chance, I'm just curious. I know when I was in first grade, i was so interested and knowledgible in space exploration, I got bumped up to a sixth grade class to study space with them. I also remember in fourth grade, making a diagram of how an A-Bomb works, I often wondered why the FBI never came after me. B-) When I was in high school, for some reason, I can;t remember, on a history test of World War II and Germany I did draw the V1 and V2 cruise missile and missile along with the basic systems from memory, I did impress the teacher though. B-)
40 posted on 07/22/2006 8:09:38 PM PDT by Nowhere Man (Michael Savage for President - 2008!)
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To: PioneerDrive

10 for me, although I think I've improved significantly over the years. When I was a young adult I was considerably more "geeky" than I am now. I guess one eventually learns coping skills.


41 posted on 07/22/2006 8:25:25 PM PDT by COBOL2Java (Freedom isn't free, but the men and women of the military will pay most of your share)
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To: Nowhere Man
.....encyclopedia type response when explaining something.

I've been there. A few years ago I was in a DSS (Defense Security Service) seminar on designing high security building systems. The class was split into small groups to go over various aspects of building security systems.

I've had some experience, so my group elected me to explain our results in a five minute talk to the whole class.

My brain switched off, and I ended up talking for 40 minutes, covering every aspect on how to secure a building from intrusion, and how to detect an intrusion if it does occur. I talked about stuff that I didn't even know I remembered. I don't think I could do the same again, and I barely passed the test at the end.

Is that the sort of thing that you mean?

42 posted on 07/22/2006 8:57:41 PM PDT by jimtorr
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To: Doctor Stochastic
Museum or theatre? Which museum (Smithsonian vs Ft. Garland CO?) Which theatre (Bass Music Hall for Messiah or Orlando's Odeon Theatre showing "Plan Nine from Outer Space" Director's Cut?) Hardly enough information.

LOL! I won't diagnose anyone, but this sounds like an answer my son would give. He is very, very precise about EVERYTHING.

43 posted on 07/22/2006 11:09:59 PM PDT by Dianna
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To: jimtorr
My brain switched off, and I ended up talking for 40 minutes, covering every aspect on how to secure a building from intrusion, and how to detect an intrusion if it does occur. I talked about stuff that I didn't even know I remembered. I don't think I could do the same again, and I barely passed the test at the end.

Is that the sort of thing that you mean?


That could be a part of it, at least the lengthy explaination of every possible detail. I know there are times I drive people crazy when I get on a roll and start going into detailed explanations. B-)
44 posted on 07/23/2006 7:52:16 AM PDT by Nowhere Man (Michael Savage for President - 2008!)
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To: Nowhere Man
"I turned 40 two weeks ago today. I went to college for computer information systems but money problems precluded me from finishing it so the highest diploma I have is high school. I do work in accounting for the ground division of a major shipping company. I guess I'm more of a "tinkerer," where I like to tinker with computers, radios, TV's, and so on. I did work in IT at one time but I did fall into accounting.

I'll be 51 in about a month. My first experience with 'tinkering' that I remember was reassembling a lighter my mother took apart to clean and couldn't put back together. I believe I was 7 or 8 at the time.

If you know anything about CS classes you'll recognize they have nothing to do with the electronics of a computer (although there is a fair bit on processors and gates). The majority of CS classes are programming languages and math. After spending 3 years getting my B.Sc. and 10 years as a professional programmer I 'fell' into a job fixing computers. (I had been building computers since the mid '80s.). I now run my own Computer sales and service company. Even with my training and experience writing software I end up working with the hardware.

"I'm just sitting here chilling a bit in the living room, watching a Godzilla movie on a locally hosted, horror picture program here in Pittsburgh while watching over one of my cats, Pansy, who is kind of sick now but I think she is recovering. She has a hyperactive thyroid, on meds for it, but we had a setback where we have to increase the dosage because she had fluid on her lungs that had to be drained at the vets yesterday. She just started to eat again today so I have to watch when she sits up, she wants to eat. Pansy will be 19 next month, she is my oldest of 7 cats, I had her since I was 21 (1987) I think she will come around.

I hope she does well.

I'm more an animal person than a people person I'm afraid. We have a 15 year old dog that is suffering from a bit of doggy Alzheimers and sometimes forgets to tell us when she needs to go out. We solved the problem by putting diappers on her.

"One thing about Asperger's is thatm any of them, like me, tend to go into an encyclopedia type response when explaining something. I've got to find out when I get a chance, I'm just curious. I know when I was in first grade, i was so interested and knowledgible in space exploration, I got bumped up to a sixth grade class to study space with them. I also remember in fourth grade, making a diagram of how an A-Bomb works, I often wondered why the FBI never came after me. B-) When I was in high school, for some reason, I can;t remember, on a history test of World War II and Germany I did draw the V1 and V2 cruise missile and missile along with the basic systems from memory, I did impress the teacher though. B-)

I too have a tendency to do that. I don't know if you guys get the same commercials that we do but there is a TUMs commercial where the guy goes into a bit about how an antacid works against the wishes of his friends. That's me.

45 posted on 07/23/2006 9:37:10 AM PDT by b_sharp (Why bother with a tagline? Even they eventually wear out! (Second Law of Taglines))
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To: agrace; bboop; blu; cgk; Conservativehomeschoolmama; cyborg; cyclotic; dawn53; Diva Betsy Ross; ...
Ping!

Not a homeschooling article, but one that may interest parents.

If you want on/off this ping list, please let me know.

46 posted on 07/23/2006 12:44:18 PM PDT by Tired of Taxes (That's taxes, not Texas. I have no beef with TX. NJ has the highest property taxes in the nation.)
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To: syriacus

Interesting test. I scored around a 30. Makes sense since I do have some issues. Not autistic, but not a genius socially. I bet my husband would score below average (as in extra social). He never understands why I can't interpret facial expressions/social motives very well.


47 posted on 07/23/2006 4:41:14 PM PDT by Kaylee Frye
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To: b_sharp
I'll be 51 in about a month. My first experience with 'tinkering' that I remember was reassembling a lighter my mother took apart to clean and couldn't put back together. I believe I was 7 or 8 at the time.

I know that feeling, at that age too, I took apart things and put them back together. I remember my mother telling me that I had a "Mr. Machine" wind up toy and I took him apart at 18 months old but at that time, I didn't know how to put him together again. B-)

If you know anything about CS classes you'll recognize they have nothing to do with the electronics of a computer (although there is a fair bit on processors and gates). The majority of CS classes are programming languages and math. After spending 3 years getting my B.Sc. and 10 years as a professional programmer I 'fell' into a job fixing computers. (I had been building computers since the mid '80s.). I now run my own Computer sales and service company. Even with my training and experience writing software I end up working with the hardware.

Cool! Although I had many computer programming classes, there are times I get into the hardware and upgrade it or modify it. I have a Pentium II 266 MHz Gateway I got in 1998 which is my main computer now, I took it from 32 megs to 192 megs of RAM and when the 6.4 GB hard disc was starting to go bad, I put in a 200 GB. Since I use Windows 98 (2nd Edition), I had to partition it into (roughly) 100 GB halves because Windows 98 doesn't recognize drives bigger than 137 GB. Problem solved, I keep system files and programs on C: and my games and web client (I do some web pages) stuff on D:

I also have an IBM Thinkpad laptop from 1999 with Windows 98 (2nd Edition) on it, 128 megs of RAM and 5.57 GB HD as a backup. The bad thing is that it fell victim to the IBM defective screen and it started to break up the picture on me. I tried to fix it but I ended up killing the screen. Desktops, I'm great in, laptops, well, I'm more hit and miss. I need a new screen for it but I hook it up to a monitor to use it. I'd love to score a new screen for it, don't want to pay a lot of money, it is a Pentium II, 366 MHz after all, plus I really have to figure out how to swap screens. I think I'll stayt away from IBM for laptops and look towards Dell, HP, whatever.

I hope she does well.

Thanks. Well, she just ate a bit of food, getting her appetite back, I guess getting stuck with needles in her sides, well, that would dowse anybody appetite for a while. B-P. She also went to the litterbox and charged out of here like a bullet out of a rifle. She still moves like a ninja at her age.

I'm more an animal person than a people person I'm afraid. We have a 15 year old dog that is suffering from a bit of doggy Alzheimers and sometimes forgets to tell us when she needs to go out. We solved the problem by putting diappers on her.

I know that one too. Animals will be loyal and love you no matter who you are as long as you feed them, love them, take care of them, etc., they don't care who or what you are as long as you treat them right. Pansy is almost back to her old self, although she needs to put some weight back on.

I too have a tendency to do that. I don't know if you guys get the same commercials that we do but there is a TUMs commercial where the guy goes into a bit about how an antacid works against the wishes of his friends. That's me.

I'm the same way. People tell me I'm like Higgins from "Magnum P.I." where he goes into long stories and explanations. I know during that show, his stories were sort of the butt of jokes to the gang but knowing me, if I was there and of that tye of person, I'd sit down for hours being fascinated by that stuff. If I know a lot about the subject I can ramble on forever.
48 posted on 07/23/2006 6:02:02 PM PDT by Nowhere Man (Michael Savage for President - 2008!)
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To: Polybius

Oh, gross. Poor family.


49 posted on 07/24/2006 6:24:40 AM PDT by metmom (Welfare was never meant to be a career choice.)
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