Detection of ipsilateral and contralateral activation components in unilateral fingers-tapping using spinal BOLD fMR

Ipsilateral activation component has been reported in brain fMRI studies using unilateral finger motion. However, the ipsilateral component is usually taskdependent and sparsely distributed. In this study, spinal BOLD fMRI has been performed on 4 healthy right-handed volunteers performing unilateral fingerstapping to investigate the ipsilateral and contralateral activation inside the cervical spinal cord. Our results showed that more activation were found at the spinal level C5-C6/C7. Bilateral activation was observed in all subjects both in left/right hand fingers-tapping. Spinal fMRI was sensitive to detect bilateral firing in fingers-tapping using dominant or non-dominant hands.published_or_final_versio

Myocardial fiber length mapping with MR diffusion tensor imaging

Diffusion tensor MRI is emerging as a rapid, nondestructive method to map myocardial fiber organization. A precise biological description of myocardial fiber performance requires knowledge of four variables: length, force, velocity and time. However, study of quantification of myocardial fiber length is lacking. The current study aims to show myocardial fiber length maps of formalin-fixed heats. Diffusion tensor MRI with medium diffusion resolution (15 directions) was performed in one isolated pig heart. Fiber length maps were investigated in multiple short-axis slices. The results provide supplementary information of myocardial fiber organization. To our knowledge, the present study is the first report of the myocardial fiber length mapping. © 2005 IEEE.published_or_final_versio

Study of myocardial fiber length distribution with diffusion tensor MRI

Diffusion tensor MRI (DTI) is a nondestructive method to map myocardial fiber organization. Many studies have been done on myocardial fiber orientation. However, cardiac contraction is also related with myocardial fiber length, but its study is limited so far. The current study aims to provide information of myocardial fiber length distribution in formalin-fixed porcine heart samples. DTI with medium diffusion resolution (15 directions) was performed. Fiber length distribution as a function of fiber helix angle was investigated in multiple short-axis slices located from base to apex of the left ventricles. Results show that longer fibers likely run circumferentially, and fibers located at middle and upper ventricle are generally longer than those near apex. The results provide supplementary structural information on myocardial fiber architecture and cardiac mechanics.published_or_final_versio

Aging and Vascular Disease: A Multidisciplinary Overview

Vascular aging, i.e., the deterioration of the structure and function of the arteries over the life course, predicts cardiovascular events and mortality. Vascular degeneration can be recognized before becoming clinically symptomatic; therefore, its assessment allows the early identification of individuals at risk. This opens the possibility of minimizing disease progression. To review these issues, a search was completed using PubMed, MEDLINE, and Google Scholar from 2000 to date. As a network of clinicians and scientists involved in vascular medicine, we here describe the structural and functional age-dependent alterations of the arteries, the clinical tools for an early diagnosis of vascular aging, and the cellular and molecular events implicated. It emerges that more studies are necessary to identify the best strategy to quantify vascular aging, and to design proper physical activity programs, nutritional and pharmacological strategies, as well as social interventions to prevent, delay, and eventually revert the disease

Identifying New Factors Associated With Cognitive Decline and Delirium After Transcatheter Aortic Valve Implantation: A Study Protocol

Background: Transcatheter aortic valve implantation (TAVI) has become the standard-of-care for treatment of severe symptomatic aortic stenosis and is also being increasingly recommended for low-risk patients. While TAVI boasts positive post-procedural outcomes, it is also associated with cognitive complications, namely delirium and cognitive decline. There is a pressing need for accurate risk tools which can identify TAVI patients at risk of delirium and cognitive decline, as risk scores designed for general cardiovascular surgery fall short. The present effect-finding exploratory study will assess the utility of various measures in the context of aging and frailty in predicting who will and who will not develop delirium or cognitive impairment following TAVI. The measures we propose include gait, visual symptoms, voice, swallowing, mood and sleep. Methods: This is an observational prospective cohort study focused on identifying pre-procedural risk factors for the development of delirium and cognitive decline following TAVI. Potential risk factors will be measured prior to TAVI. Primary outcomes will be post-procedure cognitive decline and delirium. Secondary outcomes include activities of daily living, quality of life, and mortality. Delirium presence will be measured on each of the first 2 days following TAVI. All other outcomes will be assessed at 3-, 6-, and 12-months post-operatively. A series of logistic regressions will be run to investigate the relationship between potential predictors and outcomes (presence vs. absence of either delirium or cognitive decline). Discussion: This study will assess the strengths of associations between a range of measures drawn from frailty and aging literature in terms of association with cognitive decline and delirium following TAVI. Identified measures can be used in future development of TAVI risk prediction models, which are essential for the accurate identification of cognitive at-risk patients and successful application of pre-procedural interventions. Clinical Trial Registration: This trial is registered with the Australian New Zealand Clinical Trials Registry. [https://bit.ly/2PAotP5], [ACTRN12618001114235]

Periodontal conditions in Hong Kong Chinese men with osteoporosis/osteopenia

Abstract no. 0645published_or_final_versio

MERS-CoV antibody responses 1 Year after symptom onset, South Korea, 2015

We investigated the kinetics of the Middle East respiratory syndrome coronavirus (MERS-CoV) neutralizing and spike protein antibody titers over the course of 1 year in 11 patients who were confirmed by reverse transcription PCR to have been infected during the outbreak in South Korea in 2015. Robust antibody responses were detected in all survivors who had severe disease; responses remained detectable, albeit with some waning, for <1 year. The duration of viral RNA detection (but not viral load) in sputum significantly correlated with the antibody response magnitude. The MERS S1 ELISA antibody titers correlated well with the neutralizing antibody response. Antibody titers in 4 of 6 patients who had mild illness were undetectable even though most had evidence of pneumonia. This finding implies that MERS-CoV seroepidemiologic studies markedly underestimate the extent of mild and asymptomatic infection. Obtaining convalescent-phase plasma with high antibody titers to treat MERS will be challenging.published_or_final_versio

Association of periodontal disease with osteoporosis/osteopenia in Chinese Men

published_or_final_versio

Comparison of serological assays in human Middle East respiratory syndrome (MERS)-coronavirus infection

Plaque reduction neutralisation tests (PRNT), microneutralisation (MN), Middle East respiratory syndrome (MERS)-spike pseudoparticle neutralisation (ppNT) and MERS S1-enzyme-linked immunosorbent assay (ELISA) antibody titres were compared using 95 sera from 17 patients with MERS, collected two to 46 days after symptom onset. Neutralisation tests correlated well with each other and moderately well with S1 ELISA. Moreover to compare antigenic similarity of genetically diverse MERS-CoV clades, the response of four sera from two patients sampled at two time periods during the course of illness were tested by 90% PRNT. Genetically diverse MERS-CoV clades were antigenically homogenous.published_or_final_versio

estudo de caso

Conscientes de que a comunicação é um domínio fundamental na vida de qualquer ser humano, têm-se como objetivo levar a cabo um projeto de estudo de caso: Promoção da Comunicação Expressiva em Sujeitos com Necessidades Educativas Especiais, recorrendo a um Sistema Alternativo de Comunicação – estudo de caso. Este projeto foi aplicado a um sujeito com Paralisia Cerebral que apresentava comprometimento ao nível comunicação verbal, da leitura e da escrita. Na esfera deste estudo procurou-se delinear um plano de intervenção - ação baseado no desenvolvimento de sessões que contribuíssem para aperfeiçoar a comunicação expressiva do sujeito, no seu dia-a-dia. Cada uma destas sessões teve duração entre 2/3h, nas quais se pretendeu trabalhar com o sujeito competências no âmbito da utilização de um Sistema Aumentativo Alternativo de Comunicação, nomeadamente, com o sistema SPC (Símbolos Pictográficos para a Comunicação). Com a implementação deste projeto, verificámos que a utilização do sistema SPC pode contribuir para o desenvolvimento de competências comunicativas, promovendo uma interação social mais efetiva e facilitadora. Os resultados atingidos com esta intervenção são positivos mas hipotetizamos que haverá maior impacto e resultados a longo prazo, caso esta intervenção se forem continuados. A continuação crê-se favorável a que o sujeito possa aprimorar competências funcionais, bem como, ampliar a frequência e qualidade das interações comunicativas