11 research outputs found

    Multimodal characterization of the late effects of traumatic brain injury: a methodological overview of the Late Effects of Traumatic Brain Injury Project

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    Epidemiological studies suggest that a single moderate-to-severe traumatic brain injury (TBI) is associated with an increased risk of neurodegenerative disease, including Alzheimer’s and Parkinson’s disease (AD and PD). Histopathological studies describe complex neurodegenerative pathologies in individuals exposed to single moderate-to-severe TBI or repetitive mild TBI, including chronic traumatic encephalopathy (CTE). However, the clinicopathological links between TBI and post-traumatic neurodegenerative diseases such as AD, PD, and CTE remain poorly understood. Here we describe the methodology of the Late Effects of TBI (LETBI) study, whose goals are to characterize chronic post-traumatic neuropathology and to identify in vivo biomarkers of post-traumatic neurodegeneration. LETBI participants undergo extensive clinical evaluation using National Institutes of Health TBI Common Data Elements, proteomic and genomic analysis, structural and functional MRI, and prospective consent for brain donation. Selected brain specimens undergo ultra-high resolution ex vivo MRI and histopathological evaluation including whole mount analysis. Co-registration of ex vivo and in vivo MRI data enables identification of ex vivo lesions that were present during life. In vivo signatures of postmortem pathology are then correlated with cognitive and behavioral data to characterize the clinical phenotype(s) associated with pathological brain lesions. We illustrate the study methods and demonstrate proof of concept for this approach by reporting results from the first LETBI participant, who despite the presence of multiple in vivo and ex vivo pathoanatomic lesions had normal cognition and was functionally independent until her mid-80s. The LETBI project represents a multidisciplinary effort to characterize post-traumatic neuropathology and identify in vivo signatures of postmortem pathology in a prospective study

    Mata AtlĂąntica, paleoterritĂłrios e histĂłria ambiental Brazilian atlantic coastal forest, paleoterritories, and environmental history

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    Este artigo trata da Mata AtlĂąntica e das interferĂȘncias antrĂłpicas que este bioma sofreu no tempo, tendo por objetivo incluir o legado da atividade humana como parte das suas condiçÔes ecolĂłgicas. Como forma de anĂĄlise dos processos sucessionais, Ă© proposto o resgate dos paleoterritĂłrios, aqui entendidos como as resultantes ecolĂłgicas decorrentes do uso dos ecossistemas por populaçÔes passadas na busca de suas condiçÔes de existĂȘncia.<br>This article deals with the Atlantic Rainforest and the anthropic interferences imposed on this biome throughout time. Its goal is to include the legacy of human activity as part of the explanation for its ecological state. As a way to analyze the sucessional processes, the concept of paleo-territory recovery is proposed in order to understand the ecological resultants due to the use of the ecosystems by traditional populations for means of existence
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