Differential impact of two risk communications on antipsychotic prescribing to people with dementia in Scotland: segmented regression time series analysis 2001-2011

The two risk communications were associated with reductions in antipsychotic use, in ways which were compatible with marked differences in their content and dissemination. Further research is needed to ensure that the content and dissemination of regulatory risk communications is optimal, and to track their impact on intended and unintended outcomes. Although rates are falling, antipsychotic prescribing in dementia in Scotland remains unacceptably hig

Low Dopamine D2/D3 Receptor Availability is Associated with Steep Discounting of Delayed Rewards in Methamphetamine Dependence.

BackgroundIndividuals with substance use disorders typically exhibit a predilection toward instant gratification with apparent disregard for the future consequences of their actions. Indirect evidence suggests that low dopamine D2-type receptor availability in the striatum contributes to the propensity of these individuals to sacrifice long-term goals for short-term gain; however, this possibility has not been tested directly. We investigated whether striatal D2/D3 receptor availability is negatively correlated with the preference for smaller, more immediate rewards over larger, delayed alternatives among research participants who met DSM-IV criteria for methamphetamine (MA) dependence.MethodsFifty-four adults (n = 27 each: MA-dependent, non-user controls) completed the Kirby Monetary Choice Questionnaire, and underwent positron emission tomography scanning with [(18)F]fallypride.ResultsMA users displayed steeper temporal discounting (p = 0.030) and lower striatal D2/D3 receptor availability (p < 0.0005) than controls. Discount rate was negatively correlated with striatal D2/D3 receptor availability, with the relationship reaching statistical significance in the combined sample (r = -0.291, p = 0.016) and among MA users alone (r = -0.342, p = 0.041), but not among controls alone (r = -0.179, p = 0.185); the slopes did not differ significantly between MA users and controls (p = 0.5).ConclusionsThese results provide the first direct evidence of a link between deficient D2/D3 receptor availability and steep temporal discounting. This finding fits with reports that low striatal D2/D3 receptor availability is associated with a higher risk of relapse among stimulant users, and may help to explain why some individuals choose to continue using drugs despite knowledge of their eventual negative consequences. Future research directions and therapeutic implications are discussed

Adaptive Optics Images of Kepler Objects of Interest

All transiting planets are at risk of contamination by blends with nearby, unresolved stars. Blends dilute the transit signal, causing the planet to appear smaller than it really is, or produce a false positive detection when the target star is blended with eclipsing binary stars. This paper reports on high spatial-resolution adaptive optics images of 90 Kepler planetary candidates. Companion stars are detected as close as 0.1 arcsec from the target star. Images were taken in the near-infrared (J and Ks bands) with ARIES on the MMT and PHARO on the Palomar Hale 200-inch. Most objects (60%) have at least one star within 6 arcsec separation and a magnitude difference of 9. Eighteen objects (20%) have at least one companion within 2 arcsec of the target star; 6 companions (7%) are closer than 0.5 arcsec. Most of these companions were previously unknown, and the associated planetary candidates should receive additional scrutiny. Limits are placed on the presence of additional companions for every system observed, which can be used to validate planets statistically using the BLENDER method. Validation is particularly critical for low-mass, potentially Earth-like worlds, which are not detectable with current-generation radial velocity techniques. High-resolution images are thus a crucial component of any transit follow-up program.Comment: 9 pages, 4 figures, accepted to A

Intramuscular pressure: A better tool than EMG to optimize exercise for long-duration space flight

A serious problem experienced by astronauts during long-duration space flight is muscle atrophy. In order to develop countermeasures for this problem, a simple method for monitoring in vivo function of specific muscles is needed. Previous studies document that both intramuscular pressure (IMP) and electromyography (EMG) provide quantitative indices of muscle contraction force during isometric exercise. However, at present there are no data available concerning the usefulness of IMP versus EMG during dynamic exercise. Methods: IMP (Myopress catheter) and surface EMG activity were measured continuously and simultaneously in the tibalis anterior (TA) and soleus (SOL) muscles of 9 normal male volunteers (28-54 years). These parameters were recorded during both concentric and eccentric exercises which consisted of plantarflexon and dorsiflexon of the ankle joint. A Lido Active Isokinetic Dynamometer concurrently recorded ankle joint torque and position. Results: Intramuscular pressure correlated linearly with contraction force for both SOL (r exp 2 = 0.037) and TA (R exp 2 = 0.716 and r exp 2 = 0.802, respectively). During eccentric exercises, SOL and TA IMP also correlated linearly with contraction force (r(exp 2) = 0.883 and r(exp 2) = 0.904 respectively), but SOL and TA EMG correlated poorly with force (r(exp 2) = 0.489 and r(exp 2) = 0.702 respectively). Conclusion: IMP measurement provides a better index of muscle contraction force than EMG during concentric and eccentric exercise. IMP reflects intrinsic mechanical properties of individual muscles, such as length tension relationships. Although invasive, IMP provides a more powerful tool and EMG for developing exercise hardware and protocols for astronauts exposed to long-duration space flight

Logopenic and nonfluent variants of primary progressive aphasia are differentiated by acoustic measures of speech production

Differentiation of logopenic (lvPPA) and nonfluent/agrammatic (nfvPPA) variants of Primary Progressive Aphasia is important yet remains challenging since it hinges on expert based evaluation of speech and language production. In this study acoustic measures of speech in conjunction with voxel-based morphometry were used to determine the success of the measures as an adjunct to diagnosis and to explore the neural basis of apraxia of speech in nfvPPA. Forty-one patients (21 lvPPA, 20 nfvPPA) were recruited from a consecutive sample with suspected frontotemporal dementia. Patients were diagnosed using the current gold-standard of expert perceptual judgment, based on presence/absence of particular speech features during speaking tasks. Seventeen healthy age-matched adults served as controls. MRI scans were available for 11 control and 37 PPA cases; 23 of the PPA cases underwent amyloid ligand PET imaging. Measures, corresponding to perceptual features of apraxia of speech, were periods of silence during reading and relative vowel duration and intensity in polysyllable word repetition. Discriminant function analyses revealed that a measure of relative vowel duration differentiated nfvPPA cases from both control and lvPPA cases (r2 = 0.47) with 88% agreement with expert judgment of presence of apraxia of speech in nfvPPA cases. VBM analysis showed that relative vowel duration covaried with grey matter intensity in areas critical for speech motor planning and programming: precentral gyrus, supplementary motor area and inferior frontal gyrus bilaterally, only affected in the nfvPPA group. This bilateral involvement of frontal speech networks in nfvPPA potentially affects access to compensatory mechanisms involving right hemisphere homologues. Measures of silences during reading also discriminated the PPA and control groups, but did not increase predictive accuracy. Findings suggest that a measure of relative vowel duration from of a polysyllable word repetition task may be sufficient for detecting most cases of apraxia of speech and distinguishing between nfvPPA and lvPPA

Gravitational imaging through a triple source plane lens: revisiting the Λ\LambdaCDM-defying dark subhalo in SDSSJ0946+1006

The $\Lambda$CDM paradigm successfully explains the large-scale structure of the Universe, but is less well constrained on sub-galactic scales. Gravitational lens modelling has been used to measure the imprints of dark substructures on lensed arcs, testing the small-scale predictions of $\Lambda$CDM. However, the methods required for these tests are subject to degeneracies among the lens mass model and the source light profile. We present a case study of the unique compound gravitational lens SDSSJ0946+1006, wherein a dark, massive substructure has been detected, whose reported high concentration would be unlikely in a $\Lambda$CDM universe. For the first time, we model the first two background sources in both I- and U-band HST imaging, as well as VLT-MUSE emission line data for the most distant source. We recover a lensing perturber at a $5.9\sigma$ confidence level with mass $\log_{10}(M_\mathrm{sub}/M_{\odot})=9.2^{+0.4}_{-0.1}$ and concentration $\log_{10}c=2.4^{+0.5}_{-0.3}$. The concentration is more consistent with CDM subhalos than previously reported, and the mass is compatible with that of a dwarf satellite galaxy whose flux is undetectable in the data at the location of the perturber. A wandering black hole with mass $\log_{10}(M_\mathrm{BH}/M_{\odot})=8.9^{+0.2}_{-0.1}$ is a viable alternative model. We systematically investigate alternative assumptions about the complexity of the mass distribution and source reconstruction; in all cases the subhalo is detected at around the $\geq5\sigma$ level. However, the detection significance can be altered substantially (up to $11.3\sigma$) by alternative choices for the source regularisation scheme.Comment: 23 pages, 16 figures, 5 appendice