Factors related to medication adherence in memory disorder clinic patients.

Medication adherence is a substantial problem in the elderly. It may be even more important among elderly persons with memory problems, since other factors that lead to non-adherence may be compounded with the memory problems themselves. The objective was to determine whether a model that integrates research on medication adherence from several research domains is useful in understanding adherence in elderly patients. The methodology involved a cross-sectional observational study using a convenience sample of 63 patients drawn from a university-affiliated outpatient memory disorders clinic. The primary measure of medication adherence was caregivers\u27 reports of patients\u27 medication adherence. Patients and their caregivers were asked questions assessing their beliefs about the seriousness of each condition for which a medication was prescribed and the likely outcome of that condition without treatment. Additional data collected included presence of side effects, total number of medications taken, and patients\u27 mood and cognitive status. Multilevel path analysis confirmed several model-based predictions. Caregivers\u27 reports of adherence were predicted by estimates of disease outcome, the presence of side effects, and patients\u27 relying on themselves to remember to take medications. Results partially confirm the integrative model in understanding medication adherence in these patients. Patients\u27 beliefs about the likely effect of medication treatment for their condition and the presence of side effects influence reported medication adherence. Results thus suggest that efforts to educate patients about the likely response of their medical condition to treatment and to assess and deal with medication side effects might improve patient adherence

Failure to Recover from Proactive Semantic Interference Differentiates Amnestic Mild Cognitive Impairment and PreMCI from Normal Aging after Adjusting for Initial Learning Ability

Background: There is increasing evidence that the failure to recover from proactive semantic interference (frPSI) may be an early cognitive marker of preclinical Alzheimer’s disease (AD). However, it is unclear whether frPSI effects reflect deficiencies in an individual’s initial learning capacity versus the actual inability to learn new semantically related targets. Objective: The current study was designed to adjust for learning capacity and then to examine the extent to which frPSI, proactive semantic interference (PSI) and retroactive semantic interference (RSI) effects could differentiate between older adults who were cognitively normal (CN), and those diagnosed with either Pre-Mild Cognitive Impairment (PreMCI) or amnestic MCI (aMCI). Methods: We employed the LASSI-L cognitive stress test to examine frPSI, PSI and RSI effects while simultaneously controlling for the participant’s initial learning capacity among 50 CN, 35 aMCI, and 16 PreMCI participants who received an extensive diagnostic work-up. Results: aMCI and PreMCI participants showed greater frPSI deficits (50% and 43.8% respectively) compared to only 14% of CNparticipants. PSI effects were observed for aMCI but not PreMCI participants relative to their CN counterparts. RSI failed to differentiate between any of the study groups. Conclusion: By using participants as their own controls and adjusting for overall learning and memory, it is clear that frPSI deficits occur with much greater frequency in individuals at higher risk for Alzheimer’s disease (AD), and likely reflect a failure of brain compensatory mechanisms.Fil: Curiel, Rosie E.. University of Miami; Estados UnidosFil: Crocco, Elizabeth A.. University of Miami; Estados UnidosFil: Raffo, Arlene. University of Miami; Estados UnidosFil: Guinjoan, Salvador Martín. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Houssay; Argentina. Fundación para la Lucha contra las Enfermedades Neurológicas de la Infancia; ArgentinaFil: Nemeroff, Charles B.. University of Miami; Estados UnidosFil: Penate, Ailyn. Mount Sinai Medical Center; Estados Unidos. University of Miami; Estados UnidosFil: Piña, Daema. University of Miami; Estados UnidosFil: Loewenstein, David A.. Mount Sinai Medical Center; Estados Unidos. University of Miami; Estados Unido

APOE epsilon 4 carriers may undergo synaptic damage conferring risk of Alzheimer's disease

INTRODUCTION: Pathogenesis of Alzheimer's disease (AD) in apolipoprotein E ε4 (APOE ε4) carriers remains unclear. We hypothesize that APOE isoforms have differential effects on synaptic function. METHODS: We compared levels of CSF neurogranin (Ng) between APOE ε4 carriers and noncarriers in 399 subjects with normal cognition, mild cognitive impairment (MCI), and AD. We examined associations between Ng levels and age, education, gender, CSF-Aβ42, and tau protein. RESULTS: Neurogranin levels were significantly higher in APOE ε4 carriers compared to APOE ε4 noncarriers with MCI. Levels of Ng between the APOE ε4 carriers and APOE ε4 noncarriers with AD did not differ. Ng levels were correlated with MMSE and levels of tau and Aβ42. DISCUSSION: Significantly higher CSF Ng levels in APOE ε4 carriers with MCI may reflect synaptic injury underlying early cognitive impairment. Neurogranin may be an early biomarker of AD and important for disease diagnosis and timing of intervention in APOE ε4 carriers

Cancellation of vorticity in steady-state non-isentropic flows of complex fluids

In steady-state non-isentropic flows of perfect fluids there is always thermodynamic generation of vorticity when the difference between the product of the temperature with the gradient of the entropy and the gradient of total enthalpy is different from zero. We note that this property does not hold in general for complex fluids for which the prominent influence of the material substructure on the gross motion may cancel the thermodynamic vorticity. We indicate the explicit condition for this cancellation (topological transition from vortex sheet to shear flow) for general complex fluids described by coarse-grained order parameters and extended forms of Ginzburg-Landau energies. As a prominent sample case we treat first Korteweg's fluid, used commonly as a model of capillary motion or phase transitions characterized by diffused interfaces. Then we discuss general complex fluids. We show also that, when the entropy and the total enthalpy are constant throughout the flow, vorticity may be generated by the inhomogeneous character of the distribution of material substructures, and indicate the explicit condition for such a generation. We discuss also some aspects of unsteady motion and show that in two-dimensional flows of incompressible perfect complex fluids the vorticity is in general not conserved, due to a mechanism of transfer of energy between different levels.Comment: 12 page

Detection violent behaviors: A survey

Violence detection behavior is a particular problem regarding the great problem action recognition. In recent years, the detection and recognition of violence has been studied for several applications, namely in surveillance. In this paper, we conducted a recent systematic review of the literature on this subject, covering a selection of various researched papers. The selected works were classified into three main approaches for violence detection: video, audio, and multimodal audio and video. Our analysis provides a roadmap to guide future research to design automatic violence detection systems. Techniques related to the extraction and description of resources to represent behavior are also reviewed. Classification methods and structures for behavior modelling are also provided.European Structural and Investment Funds in the FEDER component, through the Operational Competitiveness and Internationalization Programme (COMPETE 2020) [Project n ∘ 039334; Funding Reference: POCI-01-0247-FEDER-039334]. This work has been supported by national funds through FCT – Fundação para a Ciência e Tecnologia through project UIDB/04728/202

Erythropoietin (EPO) haplotype associated with all-cause mortality in a cohort of Italian patients with Type-2 Diabetes

Type-2 Diabetes (T2D), diabetic complications, and their clinical risk factors harbor a substantial genetic component but the genetic factors contributing to overall diabetes mortality remain unknown. Here, we examined the association between genetic variants at 21 T2D-susceptibility loci and all-cause mortality in an elderly cohort of 542 Italian diabetic patients who were followed for an average of 12.08 years. Univariate Cox regression analyses detected age, waist-to-hip ratio (WHR), glycosylated haemoglobin (HbA1c), diabetes duration, retinopathy, nephropathy, chronic kidney disease (CKD), and anaemia as predictors of all-cause mortality. When Cox proportional hazards multivariate models adjusted for these factors were run, three erythropoietin (EPO) genetic variants in linkage disequilibrium (LD) with each other (rs1617640-T/G, rs507392-T/C and rs551238-A/C) were significantly (False Discovery Rate < 0.1) associated with mortality. Haplotype multivariate analysis revealed that patients carrying the G-C-C haplotype have an increased probability of survival, while an opposite effect was observed among subjects carrying the T-T-A haplotype. Our findings provide evidence that the EPO gene is an independent predictor of mortality in patients with T2D. Thus, understanding the mechanisms by which the genetic variability of EPO affects the mortality of T2D patients may provide potential targets for therapeutic interventions to improve the survival of these patients

Broadband Electromagnetic Sensing for Food Quality Control: A Preliminary Experimental Study

Quality control is of great importance in food industry, both for the evaluation of product characteristics and to avoid the occurrence of foreign bodies contamination in packaged items. With respect to the inspections against possible contaminants inside the product, different technologies are currently adopted along production chain lines. However, the number of accidents involving low density objects remains very large. To overcome this limitation, the use of electromagnetic technologies has been recently proposed. In this work, the synergic use of terahertz and microwaves technologies is proposed, so to provide high resolution images and in-depth inspections of different scenarios, including low density materials. A focus study on sugar samples is considered, reporting both its broadband characterization at microwaves and preliminary terahertz imaging to evaluate the integrity of the packaging. Ongoing research is devoted to the development and validation of a microwave device for monitoring food products along the production line

Reference enthalpy method developed from solutions of the boundary-layer equations

A simple average of local enthalpy over the velocity profile is proposed as the proper definition of reference enthalpy for the purpose of quasi-one-dimensional treatment of compressible boundary layers. Use of Van Driest's nearly exact solutions of the laminar boundary-layer equations shows that this definition produces Eckert's reference enthalpy formulation for the special case of an adiabatic wall. For surfaces other than adiabatic, either Eckert's form should be replaced by that of Young and Janssen, or the coefficient in Eckert's viscous heating term should be slightly modified. A similar analysis was conducted for turbulent flows using Whitfield and High's simplified solutions of the turbulent boundary-layer equations. Dorrance's derivation of reference quantities is also addressed. This work provides a theoretical basis for the empirical reference enthalpy formulas of Eckert and others and supplies practical expressions for the reference enthalpy of both laminar and turbulent compressible boundary layers