Evaluating a continuing professional development course on cognitive functions for Music Therapists working in care homes

Scarce research to date has addressed the aspect of Continuing Professional Development (CPD) as a key requirement for qualified music therapists. The present study investigated the benefits of a CPD course based on cognitive neuropsychology, which aimed to develop music therapists’ knowledge and skills in care home settings. The course included 32h of activities spread across 3 months and was attended by 31 music therapists. This course was evaluated using a mixed-methods approach including a semi-structured interview and a quantitative questionnaire. The results revealed that the CPD course brought different benefits meeting the needs of the therapists working in the care homes, which, included: i) improved general knowledge of music cognition, ii) broadened thinking about music therapy practice and clients’ abilities, and iii) an additional clinical and theoretical framework. These results are consistent with previous literature, highlighting the importance of providing advanced training for music therapists. Crucially, the findings highlighted the need for different strategies, techniques and pedagogical approaches in CPD courses, in function of the work setting, to improve attendees’ clinical skills. In addition, the study outlines how a CPD course may be tailored to enhance specific skills and transfer of learning in line with workplace demands

Development and validation of the Music Cognitive Test: a music-based cognitive screening test

Specific tools to measure the cognitive benefits of music therapy and music-rehabilitation training available to music therapists are few and empirically weak: they are mostly psychometrically unrefined or based on unclear tasks and scoring protocols; they do not take into consideration distinct cognitive functions or are based on exclusively observational protocols. To overcome these limitations, we developed a 15-min cognitive screening tool suitable for music therapists, MCT (Music Cognitive Test), which assesses cognitive abilities stimulated by music-making activities (e.g., attentional, verbal and executive functions, short- and long-term memory) by including music-based items. MCT was validated with 335 participants (aged 18-100y.o.) presenting a range of cognitive levels, from healthy cognition to severe impairment. MCT correlated strongly and positively with well-known tests: MMSE (Mini-Mental State Examination), MoCA (Montreal Cognitive Assessment) and SMMSE (Severe Mini-Mental State Examination). MCT also displayed excellent sensitivity in identifying impaired individuals according to both MMSE and MoCA diagnostic criteria (99.4% and 93.0%, respectively), and excellent specificity in identifying healthy participants based on MMSE (93.5%) and MoCA (97.8%) criteria. Overall, results highlight the reliability of this novel brief music-focused cognitive screening test, to enable music therapists to independently and consistently monitor the effectiveness of their intervention on cognitive functions

GALNT2 as a novel modulator of adipogenesis and adipocyte insulin signaling

Background/objectives: A better understanding of adipose tissue biology is crucial to tackle insulin resistance and eventually coronary heart disease and diabetes, leading causes of morbidity and mortality worldwide. GALNT2, a GalNAc-transferase, positively modulates insulin signaling in human liver cells by down-regulating ENPP1, an insulin signaling inhibitor. GALNT2 expression is increased in adipose tissue of obese as compared to that of non-obese individuals. Whether this association is secondary to a GALNT2-insulin sensitizing effect exerted also in adipocytes is unknown. We then investigated in mouse 3T3-L1 adipocytes the GALNT2 effect on adipogenesis, insulin signaling and expression levels of both Enpp1 and 72 adipogenesis-related genes. Methods: Stable over-expressing GALNT2 and GFP preadipocytes (T 0 ) were generated. Adipogenesis was induced with (R+) or without (R−) rosiglitazone and investigated after 15 days (T 15 ). Lipid accumulation (by Oil Red-O staining) and intracellular triglycerides (by fluorimetric assay) were measured. Lipid droplets (LD) measures were analyzed at confocal microscope. Gene expression was assessed by RT-PCR and insulin-induced insulin receptor (IR), IRS1, JNK and AKT phosphorylation by Western blot. Results: Lipid accumulation, triglycerides and LD measures progressively increased from T 0 to T 15 R- and furthermore to T 15 R+. Such increases were significantly higher in GALNT2 than in GFP cells so that, as compared to T 15 R+GFP, T 15 R- GALNT2 cells showed similar (intracellular lipid and triglycerides accumulation) or even higher (LD measures, p < 0.01) values. In GALNT2 preadipocytes, insulin-induced IR, IRS1 and AKT activation was higher than that in GFP cells. GALNT2 effect was totally abolished during adipocyte maturation and completely reversed at late stage maturation. Such GALNT2 effect trajectory was paralleled by coordinated changes in the expression of Enpp1 and adipocyte-maturation key genes. Conclusions: GALNT2 is a novel modulator of adipogenesis and related cellular phenotypes, thus becoming a potential target for tackling the obesity epidemics and its devastating sequelae

The impact of temporal synchronisation imprecision on TRF analyses

Human sensory perception requires our brains to extract, encode, and process multiple properties of the sensory input. In the context of continuous sensory signals, such as speech and music, the measured electrical neural activity synchronises to properties such as the acoustic envelope, a phenomenon referred to as neural tracking. The ability of measuring neural tracking with non-invasive neurophysiology constitutes an exciting new opportunity for applied research. For example, it enables the objective assessment of cognitive functions in challenging cohorts and environments by using pleasant, everyday tasks, such as watching videos. However, neural tracking has been mostly studied in controlled, laboratory environments guaranteeing precise synchronisation between the neural signal and the corresponding labels (e.g., speech envelope). There exist various challenges that could impact such a temporal precision in, for instance, out-of-lab scenarios, such as technology (e.g., wireless data acquisition), mobility requirements (e.g., clinical scenarios), and the task (e.g., imagery). Aiming to address this type of challenge, we focus on the predominant scenario of continuous sensory experiments involving listening to speech and music. First a temporal response function analysis is presented on two different datasets to assess the impact of trigger imprecision. Second, a proof-of-concept re-alignment methodology is proposed to determine potential issues with the temporal synchronisation. Finally, a use-case study is presented that demonstrates neural tracking measurements in a challenging scenario involving older individuals with neurocognitive decline in care homes. Significance Statement Human cognitive functions can be studied by measuring neural tracking with non-invasive neurophysiology as participants perform pleasant, everyday tasks, such as listening to music. However, while recent work has encouraged the use of this approach in applied research, it remains unclear how robust neural tracking measurements can be when considering the methodological constraints of applied scenarios. This study determines the impact of a key factor for the measurement of neural tracking: the temporal precision of the neural recording. The results provide clear guidelines for future research, indicating what level of imprecision can be tolerated for measuring neural tracking with speech and music listening tasks in both laboratory and applied settings. Furthermore, the study provides a strategy to assess the impact of imprecision in the synchronisation of the neural recording, thus developing new tools for applied neuroscience

Chromatographic determination of 12 dyes in meat products by HPLC-UV-DIODE array detection

The use of food dyes in meat is regulated by the current European and non-European legislation, due to several food safety concerns. A reliable method for the quali-quantitative determination of 12 food dyes (Amaranth, Ponceau 4R, Carmine, Ponceau SX, Ponceau 3R, Allura Red AC, Carmoisine, Erythrosine, Sudan I, Sudan II, Sudan III and Sudan IV) in meat products, by high performance liquid chromatography coupled to UV diode array detection is presented. The extraction was accomplished by using acetonitrile, methanol, water, and ammonia, 50:40:9:1 (v/v/v/v) as the solvent and ultrasonic bath. The chromatographic separation was obtained with a C18 RP column eluted by a gradient of acetate buffer/acetonitrile. Good analytical performances characterized this method (Table 1), in terms of selectivity, sensitivity, accuracy and ruggedness. Both method precision (CV% range: 6%-15%) and recovery percentages (range: 86%-105%) resulted in compliance with Decision 2002/657/EC, and the expanded measurement uncertainties, estimated by a bottom-up approach, were in the range 6%-20%. All these results demonstrated that the procedure can be applied successfully for confirmation analyses of commercial meat products. •12 food dyes were determined in meat by new HPLC/UV-DAD method.•The analytical method was fully validated for accurate confirmation analyses.•Method accuracy, sensitivity, selectivity and ruggedness resulted satisfactory

Mirrored images but not silicone models trigger aggressive responses in male common wall lizards

Disentangling the effects of single releasers in animal communication is a demanding task because a releaser often consists of a combination of different key stimuli. Territorial communication in reptiles usually depends on visual, chemical, and acoustic stimuli, but the role of each of them depends on phylogeny. Lacertids are modern lizards that rely mainly on chemical cues for their communication, but they also use aggressive displays based on visual recognition. We experimentally tested the visual stimuli that release an aggressive response in the males of a typical lacertid, the common wall lizard (Podarcis muralis), testing the effects of silicone models and mirrored images in captivity. The response to models and control (a blank sheet) was not significantly different and these stimuli did not release any aggressive behaviour. On the contrary, the reflected image in a mirror caused overt aggression (i.e., bites against it) in 63% of tested individuals. The results clearly demonstrate the role of visual stimuli in territorial communication, but only as a combined effect of shape and motion, differently from other lizard families for which shape is enough to stimulate aggre sive responses. Mirrors can be useful tools to investigate aggression related to physiological and morphological aspects in lacertid lizards

Stable or plastic body shape? Emys orbicularis hatchlings-juveniles growth patterns under different ecological conditions

To test if habitat could shape shell features of freshwater turtles starting from birth, we tested hatchlings of Emys orbicularis, randomly chosen from four clutches of the same locality, under two treatments, stagnant (pond habitat) vs lotic (river habitat) water regimes. Due to mortality at the beginning of the experiment, we finally considered only two clutches. Turtle shells were characterized initially at hatching and then after one year of treatment by means of traditional and geometric morphometrics, and phenotypic trajectories analyses were conducted on both types of data. Carapace growth was isometric both in proportion and shape, while plastron showed an allometric pattern: length increased more than width, while the contour showed an expansion at the rear and a compression of the front. The hydrodynamic conditions during growth did not seem to affect the phenotypic trajectories of the shell proportions or the plastron. On the contrary, a significant effect was found on the phenotypic trajectory of the carapace: the size component (but not the angle one) was positively influenced by the "lentic" treatment, suggesting a different growth rate between the two environmental conditions

Subjective resource value affects aggressive behavior independently of resource-holding-potential and color morphs in male common wall lizard

AbstractGame theory models predict the outcome of a dyadic contest to depend on opponents' asymmetries in three main traits: resource-holding potential (RHP), resource value (RV) and aggressiveness. Using male common wall lizards Podarcis muralis, a polymorphic species showing three discrete morphs (white, yellow, and red), we investigated how the aggressive behavior varies according to a change in subjective RV and color morphs, while controlling for the asymmetry in RHP (using mirrors). By comparing the aggression of the same individual towards its mirror image in two different arenas (familiar = high subjective RV; novel = low subjective RV), we showed that lizard aggressive behavior was more intense and prolonged in the familiar arena than in the new one, thus supporting the occurrence of a direct relationship between motivation and aggression in this species. We also found the overall aggressiveness to differ from individual to individual, supporting the general hypothesis that aggressiveness is a trait associated with personality. By contrast, no effect of morphs was detected, ruling out the occurrence of morph specific variation in the aggressiveness. Our results highlight that an individual's motivation and personality might be as important as RHP and RV in the resolution of animal contests

An inter-laboratory comparison to evaluate the suitability of EN 1787 standard to detect irradiation in plant-origin foods with health benefits

This paper reports the results of a study carried out to verify the applicability of the EN 1787 method, which uses the Electron Spin Resonance (ESR) technique for the identification of irradiated plant-origin foods with health benefits. The method was tested on samples of herbal ingredients of Plant Food Supplements (PFSs), nuts and fresh blueberries. Untreated and irradiated samples of Camellia sinensis (leaves) Ginkgo biloba (leaves), Glycine max (seeds), Silybum marianum (fruits), Vaccinium myrtillus (fruits), almonds, hazelnuts, peanuts, pistachios, walnuts and fresh blueberries were analysed. The work includes an inter-laboratory blind test involving five Italian laboratories that perform routine analyses for the official control of irradiated food. A total of 180 untreated and irradiated samples of PFS ingredients, nuts and fresh blueberries were analysed. The analyses on the irradiated samples were replicated even a long time after irradiation (up to two years depending on the matrix) to test the reliability of the method throughout the shelf life of the products. The results were matrix-dependent: all the 5 kGy irradiated nuts and the 1 kGy-irradiated blueberries were correctly classified, whereas herbal ingredients showed complex ESR spectra with spurious signals which often prevented the correct classification of the sample

Low dose rate brachytherapy (LDR-BT) as monotherapy for early stage prostate cancer in Italy: practice and outcome analysis in a series of 2237 patients from 11 institutions

OBJECTIVE: Low-dose-rate brachytherapy (LDR-BT) in localized prostate cancer is available since 15 years in Italy. We realized the first national multicentre and multidisciplinary data collection to evaluate LDR-BT practice, given as monotherapy, and outcome in terms of biochemical failure. METHODS: Between May 1998 and December 2011, 2237 patients with early-stage prostate cancer from 11 Italian community and academic hospitals were treated with iodine-125 ((125)I) or palladium-103 LDR-BT as monotherapy and followed up for at least 2 years. (125)I seeds were implanted in 97.7% of the patients: the mean dose received by 90% of target volume was 145 Gy; the mean target volume receiving 100% of prescribed dose (V100) was 91.1%. Biochemical failure-free survival (BFFS), disease-specific survival (DSS) and overall survival (OS) were estimated using Kaplan-Meier method. Log-rank test and multivariable Cox regression were used to evaluate the relationship of covariates with outcomes. RESULTS: Median follow-up time was 65 months. 5- and 7-year DSS, OS and BFFS were 99 and 98%, 94 and 89%, and 92 and 88%, respectively. At multivariate analysis, the National Comprehensive Cancer Network score (p < 0.0001) and V100 (p = 0.09) were correlated with BFFS, with V100 effect significantly different between patients at low risk and those at intermediate/high risk (p = 0.04). Short follow-up and lack of toxicity data represent the main limitations for a global evaluation of LDR-BT. CONCLUSION: This first multicentre Italian report confirms LDR-BT as an excellent curative modality for low-/intermediate-risk prostate cancer. ADVANCES IN KNOWLEDGE: Multidisciplinary teams may help to select adequately patients to be treated with brachytherapy, with a direct impact on the implant quality and, possibly, on outcome