Rhythmic Auditory Stimulation (RAS) and motor rehabilitation in Parkinson’s disease: new frontiers in assessment and intervention protocols

Previous studies have demonstrated that physical therapy accompanied by Rhythmic Auditory Stimulation (RAS) can improve the motor skills of patients with Parkinson’s disease and, in particular, their gait disturbances. In the present work we describe the neurological bases and perceptual-motor deficits generally associated with Parkinson’s dis- ease, with a specific focus on gait disturbances. Within this framework, we review the role of auditory cueing in the modulation of patients’ gait, addressing this issue from the cognitive, neurological and biomechanical perspectives. In particular, we focus on the new frontiers of both assessment and intervention. With regards to the assessment, we describe the advantages of the three-dimensional quantitative multifactorial gait analysis. As concerns the intervention, we illus- trate the potential impact of the administration of ecological footstep sounds as rhythmic cues

Oral Signs and HLA-DQB1 1702 Haplotypes in the Celiac Paediatric Patient: A Preliminary Study.

Celiac disease (CD) diagnosis can be extremely challenging in the case of atypical patterns. In this context, oral signs seem to play a decisive role in arousing suspicion of these forms of the disease. At the same time, the different expressions of the HLA-DQB1 1702 allele apparently seem to facilitate the interpretation of signs and highlighted symptoms. The aim of this work was to verify whether it is possible to identify a correlation between the development of oral signs and different DQ2 haplotypes in celiac pediatric patients. 44 celiac patients with a medium age of 9.9 were studied. Oral examinations were performed in order to identify recurrent aphthous stomatitis (RAS) and dental enamel defects (DED). The diagnosis of DED resulted as being related to allele expression (P value = 0.042) while it was impossible to find a similar correlation with RAS. When both oral signs were considered, there was an increase in correlation with HLA-DQB1 1702 expression (P value = 0.018). The obtained results identified both the fundamental role that dentists can play in early diagnosis of CD, as well as the possible role of HLA haplotype analysis in arousing suspicion of atypical forms of the disease

Effects of physical rehabilitation integrated with rhythmic auditory stimulation on spatio-temporal and kinematic parameters of gait in parkinsons's disease

Movement rehabilitation by means of physical therapy represents an essential tool in the management of gait disturbances induced by Parkinson’s disease (PD). In this context, the use of Rhythmic Auditory Stimulation (RAS) has been proven useful in improving several spatio-temporal parameters, but concerning its effect on gait patterns scarce information is available from a kinematic viewpoint. In this study we used three-dimensional gait analysis based on optoelectronic stereophotogrammetry to investigate the effects of 5 weeks of intensive rehabilitation, which included gait training integrated with RAS on 26 individuals affected by PD (age 70.4±11.1, Hoehn & Yahr 1-3). Gait kinematics was assessed before and at the end of the rehabilitation period and after a three-month follow-up, using concise measures (Gait Profile Score and Gait Variable Score, GPS and GVS, respectively), which are able to describe the deviation from a physiologic gait pattern. The results confirm the effectiveness of gait training assisted by RAS in increasing speed and stride length, in regularizing cadence and correctly reweighting swing/stance phase duration. Moreover, an overall improvement of gait quality was observed, as demonstrated by the significant reduction of the GPS value, which was created mainly through significant decreases in the GVS score associated with the hip flexion-extension movement. Future research should focus on investigating kinematic details to better understand the mechanisms underlying gait disturbances in people with PD and the effects of RAS, with the aim of finding new or improving current rehabilitative treatments

Topological metamagnetism : thermodynamics and dynamics of the transition in spin ice under uniaxial compression

This work was carried out within the framework of a Max-Planck independent research group on strongly correlated systems. We acknowledge financial support from the Deutsche Forschungsgemeinschaft through SFB 1143 (Project No. 247310070) and Cluster of Excellence ct.qmat (EXC 2147, Project No. 390858490), EPSRC (EP/T028637/1), ShanghaiTech University, Agencia Nacional de Promoción Científica y Tecnológica through PICT 2017-2347, and Consejo Nacional de Investigaciones Científicas y Técnicas through PIP 0446.Metamagnetic transitions are analogs of a pressure-driven gas-liquid transition in water. In insulators, they are marked by a superlinear increase in the magnetization that occurs at a field strength set by the spin exchange interactions. Here we study topological metamagnets, in which the magnetization is itself a topological quantity and for which we find a single transition line for two materials with substantially different magnetic interactions: the spin ices Dy2Ti2O7 and Ho2Ti2O7. We study single crystals under magnetic field and stress applied along the [001] direction and show that this transition, of the Kasteleyn type, has a magnetization versus field curve with upward convexity and a distinctive asymmetric peak in the susceptibility. We also show that the dynamical response of Ho2Ti2O7 is sensitive to changes in the Ho3+ environment induced by compression along [001]. Uniaxial compression may open up experimental access to equilibrium properties of spin ice at lower temperatures.Publisher PDFPeer reviewe

Barometric pumping of a fractured porous medium

International audienceBarometric pumping plays a crucial role in the release of trace gases from fractured porous media to the atmosphere, and it requires a rigorous and complete modeling in order to go beyond the approximate schemes available in the literature. Therefore, a coupled set of convection and convection-diffusion equations for a slightly compressible fluid in unsteady conditions should be solved. The numerical methodology is presented, and it is applied to conditions close to the ones of the Roselend Natural Laboratory (France). The precision of the code is assessed and the mechanism of barometric pumping is explained. The usual schematization by simple vertical fractures is shown to be only qualitative. Finally, barometric pumping is shown to be efficient in a narrow range of parameter values; its efficiency is a decreasing function of the matrix porosity and of the fracture density

Selenomethionine and methyl selenocysteine: multiple-dose pharmacokinetics in selenium-replete men

According to the Nutritional Prevention of Cancer (NPC) trial, a selenized yeast supplement containing selenium, 200 mcg/day, decreased the incidence of total cancer, cancers of the prostate, colon and lung, and cancer mortality. The active agent in the selenized yeast supplement was assumed to be selenomethionine (SEMET), although the supplement had not been well speciated. The SELECT study, largely motivated by the NPC trial, enrolling nearly 40 times as many subjects, showed unequivocally that selenium 200 mcg/day, with selenium in the form of SEMET, does not protect selenium-replete men against prostate or other major cancer. The agent tested by SELECT, pure SEMET, could have been different from the selenized yeast tested in NPC. One of the selenium forms suspected of having chemopreventive effects, and which may have been present in the NPC agent, is methyl selenocysteine (MSC). This study, with 29 selenium-replete patients enrolled in a randomized, double-blind trial, compared the multiple-dose toxicity, pharmacokinetics and pharmacodynamics of MSC and SEMET. Patients were on trial for 84 days. No toxicity was observed. Although SEMET supplementation increased blood selenium concentration more than MSC did, neither form had a more than minimal impact on the two major selenoproteins: selenoprotein P(SEPP1) and glutathione peroxidase(GPX)