60 research outputs found

    Diabetes status and post-load plasma glucose concentration in relation to site-specific cancer mortality: findings from the original Whitehall study

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    ObjectiveWhile several studies have reported on the relation of diabetes status with pancreatic cancer risk, the predictive value of this disorder for other malignancies is unclear. Methods: The Whitehall study, a 25year follow-up for mortality experience of 18,006 men with data on post-challenge blood glucose and self-reported diabetes, allowed us to address these issues. Results: There were 2158 cancer deaths at follow-up. Of the 15 cancer outcomes, diabetes status was positively associated with mortality from carcinoma of the pancreas and liver, while the relationship with lung cancer was inverse, after controlling for a range of potential covariates and mediators which included obesity and socioeconomic position. After excluding deaths occurring in the first 10years of follow-up to examine the effect of reverse causality, the magnitude of the relationships for carcinoma of the pancreas and lung was little altered, while for liver cancer it was markedly attenuated. Conclusions: In the present study, diabetes status was related to pancreatic, liver, and lung cancer risk. Cohorts with serially collected data on blood glucose and covariates are required to further examine this area

    Motor signatures of emotional reactivity in frontotemporal dementia

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    Automatic motor mimicry is essential to the normal processing of perceived emotion, and disrupted automatic imitation might underpin socio-emotional deficits in neurodegenerative diseases, particularly the frontotemporal dementias. However, the pathophysiology of emotional reactivity in these diseases has not been elucidated. We studied facial electromyographic responses during emotion identification on viewing videos of dynamic facial expressions in 37 patients representing canonical frontotemporal dementia syndromes versus 21 healthy older individuals. Neuroanatomical associations of emotional expression identification accuracy and facial muscle reactivity were assessed using voxel-based morphometry. Controls showed characteristic profiles of automatic imitation, and this response predicted correct emotion identification. Automatic imitation was reduced in the behavioural and right temporal variant groups, while the normal coupling between imitation and correct identification was lost in the right temporal and semantic variant groups. Grey matter correlates of emotion identification and imitation were delineated within a distributed network including primary visual and motor, prefrontal, insular, anterior temporal and temporo-occipital junctional areas, with common involvement of supplementary motor cortex across syndromes. Impaired emotional mimesis may be a core mechanism of disordered emotional signal understanding and reactivity in frontotemporal dementia, with implications for the development of novel physiological biomarkers of socio-emotional dysfunction in these diseases

    The power of positives: Evidence for an overall emotional recognition deficit in Huntington's disease [Abstract]

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    The recognition of emotions of disgust, anger and fear have been shown to be significantly impaired in Huntington’s disease (eg,Sprengelmeyer et al, 1997, 2006; Gray et al, 1997; Milders et al, 2003,Montagne et al, 2006; Johnson et al, 2007; De Gelder et al, 2008). The relative impairment of these emotions might have implied a recognition impairment specific to negative emotions. Could the asymmetric recognition deficits be due not to the complexity of the emotion but rather reflect the complexity of the task? In the current study, 15 Huntington’s patients and 16 control subjects were presented with negative and positive non-speech emotional vocalisations that were to be identified as anger, fear, sadness, disgust, achievement, pleasure and amusement in a forced-choice paradigm. This experiment more accurately matched the negative emotions with positive emotions in a homogeneous modality. The resulting dually impaired ability of Huntington’s patients to identify negative and positive non-speech emotional vocalisations correctly provides evidence for an overall emotional recognition deficit in the disease. These results indicate that previous findings of a specificity in emotional recognition deficits might instead be due to the limitations of the visual modality. Previous experiments may have found an effect of emotional specificy due to the presence of a single positive emotion, happiness, in the midst of multiple negative emotions. In contrast with the previous literature, the study presented here points to a global deficit in the recognition of emotional sounds
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