Collecting with a Plan: The Arthur S. Obermayer Personal Library

This presentation describes the acquisition, conservation, cataloging, and classification of a personal library that was donated to The Henry Ford in 2016. The size of the collection, as well as the decision to preserve the donor’s numbering scheme, produced unexpected challenges

An MRI-compatible caloric stimulation device for the investigation of human vestibular cortex

Background Self-motion perception involves the integration of vestibular, visual, somatosensory and other sensory cues. The neural responses to caloric vestibular stimulation (CVS) in humans have been investigated with functional magnetic resonance imaging (fMRI). New method We developed an fMRI-compatible, bithermal caloric stimulation device for repeated CVS. Tempered water is pumped via a closed-loop tube-system to one or both ear canals. Water temperature transmits to the surface of the ear canal via a small glass-pod. For our purposes we used hot (47–49 °C), cold (5–7.5 °C), or warm for baseline (30–32.5 °C). The pods are integrated in the MRI ear protection and connected to water influx and efflux tubes. With our device we can apply multiple vestibular stimulation and baseline trials consecutively. Control measurements indicate that the applied temperatures are stable across trials. MRI-signal differences due to water flow and water temperature are restricted to the area surrounding the pod and are unlikely to intrude into brain tissue. Results Vestibular stimulation with our device elicits caloric nystagmus when no central fixation is presented. We validated our system by conducting a CVS experiment during fMRI-scanning. Participants indicated the presence or absence of a self-motion sensation. Periods of self motion yielded activation in the cortical vestibular network including putative human parieto-insular vestibular cortex (PIVC). Comparison with existing methods Our closed-loop device eliminates many problems associated with caloric stimulation during fMRI. Conclusions Our device allows researchers to explore neural responses to CVS and those evoked by combined sensory stimulation

Experimental study using multiple strains of prion disease in cattle reveals an inverse relationship between incubation time and misfolded prion accumulation, neuroinflammation and autophagy

Proteinopathies result from aberrant folding and accumulation of specific proteins. Currently, there is a lack of knowledge about the factors that influence disease progression making this a key challenge for the development of therapies for proteinopathies. Due to the similarities between transmissible spongiform encephalopathies (TSEs) and other protein misfolding diseases, TSEs can be used to understand other proteinopathies. Bovine spongiform encephalopathy (BSE) is a TSE that occurs in cattle and can be subdivided into three strains: classical BSE, and atypical BSEs (H-type and L-type) that have shorter incubation periods. The NLRP3 inflammasome is a critical component of the innate immune system that leads to release of IL-1β (Interlukin-1β). Macroautophagy is an intracellular mechanism that plays an essential role in protein clearance. In this study, we use the retina as a model to investigate the relationship between disease incubation period, prion protein (PrPSc) accumulation, neuroinflammation, and changes in macroautophagy. We demonstrate that atypical BSEs present with increased PrPSc accumulation and neuroinflammation, and decreased autophagy. Our work suggests a relationship between disease time course, neuroinflammation, and the autophagic stress response. This work may help identify novel therapeutic biomarkers that can delay or prevent the progression of proteinopathies

The relationship of individual comorbid chronic conditions to diabetes care quality.

ObjectiveMultimorbidity affects 26 million persons with diabetes, and care for comorbid chronic conditions may impact diabetes care quality. The aim of this study was to determine which chronic conditions were related to lack of achievement or achievement of diabetes care quality goals to determine potential targets for future interventions.Research design and methodsThis is an exploratory retrospective analysis of electronic health record data for 23 430 adults, aged 18-75, with diabetes who were seen at seven Midwestern US health systems. The main outcome measures were achievement of six diabetes quality metrics in the reporting year, 2011 (glycated haemoglobin (HbA1c) control and testing, low-density lipoprotein control and testing, blood pressure control, kidney testing). Explanatory variables were 62 chronic condition indicators. Analyses were adjusted for baseline patient sociodemographic and healthcare utilization factors.ResultsThe 62 chronic conditions varied in their relationships to diabetes care goal achievement for specific care goals. Congestive heart failure was related to lack of achievement of cholesterol management goals. Obesity was related to lack of HbA1c and BP control. Mental health conditions were related to both lack of achievement and achievement of different care goals. Three conditions were related to lack of cholesterol testing, including congestive heart failure and substance-use disorders. Of 17 conditions related to achieving control goals, 16 were related to achieving HbA1c control. One-half of the comorbid conditions did not predict diabetes care quality.ConclusionsFuture interventions could target patients at risk for not achieving diabetes care for specific care goals based on their individual comorbidities

Altered electroretinogram b-wave in a Suffolk sheep experimentally infected with scrapie

TRANSMISSIBLE spongiform encephalopathies (TSEs) are a group of fatal neurodegenerative diseases in which an abnormal isoform of the cellular prion protein (PrPSc) accumulates in tissues of the central nervous system. Accumulation of PrPSc occurs in the retina, a rostral projection of the central nervous system, of both natural and nonnatural host species with TSEs (Foster and others 1999, Spraker and others 2002, Head and others 2003, 2005, Hamir and others 2004, 2005, Kercher and others 2004, Greenlee and others 2006, Hortells and others 2006). In retinas from scrapie-affected sheep, PrPSc accumulation is primarily observed in the inner and outer plexiform layers, and in the ganglion cell layer (Jeffrey and others 2001, Greenlee and others 2006). Recent studies have reported few (Hortells and others 2006) or no (Greenlee and others 2006) histological lesions in the retinas of sheep affected with scrapie. However, morphological changes in specific retinal cell types have been demonstrated (Smith and others 2008). Despite the morphological consequences of retinal PrPSc accumulation in sheep (Barnett and Palmer 1971, Smith and others 2008), the functional impact on the retina of these animals is unknown. In the current study, the effect of TSE on retinal function in a scrapie-infected Suffolk sheep using flash electroretinography was investigated