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Neural correlates of cognitive intervention in persons at risk of developing Alzheimer's disease.
Cognitive training is an emergent approach that has begun to receive increased attention in recent years as a non-pharmacological, cost-effective intervention for Alzheimer's disease (AD). There has been increasing behavioral evidence regarding training-related improvement in cognitive performance in early stages of AD. Although these studies provide important insight about the efficacy of cognitive training, neuroimaging studies are crucial to pinpoint changes in brain structure and function associated with training and to examine their overlap with pathology in AD. In this study, we reviewed the existing neuroimaging studies on cognitive training in persons at risk of developing AD to provide an overview of the overlap between neural networks rehabilitated by the current training methods and those affected in AD. The data suggest a consistent training-related increase in brain activity in medial temporal, prefrontal, and posterior default mode networks, as well as increase in gray matter structure in frontoparietal and entorhinal regions. This pattern differs from the observed pattern in healthy older adults that shows a combination of increased and decreased activity in response to training. Detailed investigation of the data suggests that training in persons at risk of developing AD mainly improves compensatory mechanisms and partly restores the affected functions. While current neuroimaging studies are quite helpful in identifying the mechanisms underlying cognitive training, the data calls for future multi-modal neuroimaging studies with focus on multi-domain cognitive training, network level connectivity, and individual differences in response to training
WeightâLength Regressions and Growth for Two Bluegill Populations in Rhode Island
Significant differences in weightâlength regressions and growth were observed between populations of bluegills (Lepomis macrochirus) in two physicochemically similar Rhode Island ponds about 500 m apart. Bluegills were heavier and grew faster in the pond in which their density was lower and which had a population of seaârun alewives (Alosa pseudoharengus).Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/141452/1/naaq0046.pd
Preoperative STOP-BANG Scores and Postoperative Delirium and Coma in Thoracic Surgery Patients
Background
Obstructive sleep apnea (OSA) is associated with higher rates of postoperative delirium. The relationship between preoperative OSA risk and postoperative delirium and coma in thoracic surgery patients hospitalized in the intensive care unit (ICU) is not well understood. This study tests the hypothesis that thoracic surgery patients hospitalized in ICU with a higher preoperative risk for OSA are more likely to develop postoperative delirium and coma, resulting in longer hospital stays.
Methods
Preoperative OSA risk was measured using the STOP-BANG questionnaire. STOP-BANG scores of â„ 3 were defined as intermediate-high risk for OSA. 128 patients who underwent major thoracic surgery completed the STOP-BANG questionnaire preoperatively. The Richmond Agitation and Sedation Scale was used to assess level of consciousness. The Confusion Assessment Method for the ICU was used to assess for delirium. Linear regression was used to assess the relationship between risk of OSA and outcome measures. Results were adjusted for age, gender, body mass index, Charlson Comorbidity Index, instrumental activities of daily living, and surgery type.
Results
96 out of 128 patients (76%) were in the intermediate-high risk OSA group. Adjusted analyses showed that the intermediate-high risk OSA group had a longer duration of postoperative ICU delirium and coma compared to the low risk OSA group (1.4 days ± 1.3 vs 0.9 days ± 1.4; P = 0.04). Total number of hospital days was not significantly different.
Conclusions
Higher preoperative risk for OSA in thoracic surgery patients was associated with a longer duration of postoperative delirium and coma
Perioperative Risk Factors for Postoperative Delirium in Patients Undergoing Esophagectomy
Background
Postoperative delirium affects up to 50% of patients undergoing esophagectomy and is associated with negative outcomes. The perioperative risk factors for delirium in this population are not well understood. We conducted this study to assess perioperative risk factors for postoperative delirium among esophagectomy patients.
Methods
We performed a secondary data analysis of patients enrolled in a randomized controlled trial evaluating the efficacy of haloperidol prophylaxis postoperatively in reducing delirium among esophagectomy patients. Postoperative delirium was assessed twice daily using the Confusion Assessment Method for the ICU. Univariate and logistic regression analyses were performed to examine the association between perioperative variables and development of postoperative delirium.
Results
Of 84 consecutive esophagectomy patients, 27 (32%) developed postoperative delirium. Patients who developed postoperative delirium had higher APACHE II scores [22.1 (6.5) versus 17.4 (6.8); p=0.003], longer mechanical ventilation days [1.7 (1.4) versus 1.0 (1.1); p=0.001], and longer ICU days [5.1 (2.6) versus 2.6 (1.6); p<0.001]. In a logistic regression model, only ICU length of stay was found to have significant association with postoperative delirium [OR 1.65; 95% CI 1.21-2.25].
Conclusions
ICU length of stay was significantly associated with postoperative delirium. Other perioperative factors including duration of surgery, blood loss, and hemoglobin levels were not significantly associated with postoperative delirium
Building Engagement in Facebook: A Case Study with Utah State University Extension Sustainability
In order to stay relevant in an online world, Extension must properly use social networking platforms to effectively reach diverse audiences regarding agricultural and natural resource issues. However, few studies have focused on how Extension uses Facebook to effectively accomplish its goal. This studyâs purpose was to explore how Utah State University Extension Sustainability uses Facebook to engage followers. The researchers conducted a quantitative content analysis of 504 messages posted to the USU Extension Sustainability Facebook page. Graphics and links were the most common post characteristics used by the organization. Text-only posts and posts containing videos were utilized the least. Food was the most common area of sustainability discussed on the page. Posts containing videos, shared content, or that tagged other Facebook pages in messages experienced statistically significantly higher user engagement than posts without those characteristics. Posts containing hashtags experienced statistically significantly lower engagement. Neutral sentiment appeared in the majority of posts. Additionally, information seeking was the most dominant communicative function among the posts. Neither the type of sentiment nor communicative functions were significantly connected to engagement. Future research should determine changes in knowledge, attitudes, intentions, and behavior as a result of exposure to, and engagement with, the Facebook page. Additionally, a qualitative study determining consumersâ attitudes toward Facebook content can provide a deeper understanding of the audienceâs thought processes and content preferences. Page administrators should craft engaging content that builds community among followers
Sulfur gases produced by the decomposition of sulfide minerals: Application to geochemical exploration
We have evaluated the potential application of sulfur gas analysis to exploration for buried sulfide mineral deposits by: (1) calculating by use of equilibrium thermodynamics, the relative abundances of gases that should be given off by decomposing sulfide minerals; and (2) determining experimentally the abundances of gases that are actually given off. The calculations indicate that the gases that should be given off by decomposing sulfide minerals are (in order of decreasing abundance) H2S, COS, CS2, CH3SH, (CH3)2S2 or SO2 or S2 (depending on Eh and pH). In contrast, our experiments show that decomposing sulfide minerals evolve only CS2 and COS, in order of decreasing abundance. Pyrite produces the largest amounts of sulfur gas. Moist (rather than saturated) and non-sterile (rather than sterile) conditions enhance gas generation from pyrite, although no large difference appeared between sterile and non-sterile experiments for other sulfide minerals. These experiments indicate that the sulfur gases CS2 and COS could be useful indicators of buried metal sulfide deposits.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/23777/1/0000015.pd
Relationship of fluid inclusion geochemistry to wall-rock alteration and lithogeochemical zonation at the Hollinger-McIntyre gold deposit, Porcupine District, Canada
Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/26957/1/0000524.pd
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