187 research outputs found
Postural directionality and head tremor in cervical dystonia
Background: Although abnormal head and neck postures are defining features of cervical dystonia (CD), head tremor (HT) is also common. However, little is known about the relationship between abnormal postures and HT in CD.
Methods: We analyzed clinical data and video recordings from 185 patients enrolled by the Dystonia Coalition. We calculated the likelihood of their HT and HT type ( regular vs. jerky ) given directionality of abnormal head postures, disease duration, sex, and age.
Results: Patients with retrocollis were more likely to have HT than patients with anterocollis (X
Discussion: We found that HT is more likely for CD patients with a specific directionality in their predominant posture. Our finding that CD patients with longer disease duration have a higher likelihood of HT also raises the question of whether HT becomes more likely over time in individual patients
Non-motor phenotypic subgroups in adult-onset idiopathic, isolated, focal cervical dystonia
Background: Non-motor symptoms are well established phenotypic components of adult-onset idiopathic, isolated, focal cervical dystonia (AOIFCD). However, improved understanding of their clinical heterogeneity is needed to better target therapeutic intervention. Here, we examine non-motor phenotypic features to identify possible AOIFCD subgroups.
Methods: Participants diagnosed with AOIFCD were recruited via specialist neurology clinics (dystonia wales: n = 114, dystonia coalition: n = 183). Non-motor assessment included psychiatric symptoms, pain, sleep disturbance, and quality of life, assessed using self-completed questionnaires or face-to-face assessment. Both cohorts were analyzed independently using Cluster, and Bayesian multiple mixed model phenotype analyses to investigate the relationship between non-motor symptoms and determine evidence of phenotypic subgroups.
Results: Independent cluster analysis of the two cohorts suggests two predominant phenotypic subgroups, one consisting of approximately a third of participants in both cohorts, experiencing increased levels of depression, anxiety, sleep impairment, and pain catastrophizing, as well as, decreased quality of life. The Bayesian approach reinforced this with the primary axis, which explained the majority of the variance, in each cohort being associated with psychiatric symptomology, and also sleep impairment and pain catastrophizing in the Dystonia Wales cohort.
Conclusions: Non-motor symptoms accompanying AOIFCD parse into two predominant phenotypic sub-groups, with differences in psychiatric symptoms, pain catastrophizing, sleep quality, and quality of life. Improved understanding of these symptom groups will enable better targeted pathophysiological investigation and future therapeutic intervention
Search for Quantum Gravity Using Astrophysical Neutrino Flavour with IceCube
Along their long propagation from production to detection, neutrino states
undergo quantum interference which converts their types, or flavours.
High-energy astrophysical neutrinos, first observed by the IceCube Neutrino
Observatory, are known to propagate unperturbed over a billion light years in
vacuum. These neutrinos act as the largest quantum interferometer and are
sensitive to the smallest effects in vacuum due to new physics. Quantum gravity
(QG) aims to describe gravity in a quantum mechanical framework, unifying
matter, forces and space-time. QG effects are expected to appear at the
ultra-high-energy scale known as the Planck energy, ~giga-electronvolts (GeV). Such a high-energy universe would have
existed only right after the Big Bang and it is inaccessible by human
technologies. On the other hand, it is speculated that the effects of QG may
exist in our low-energy vacuum, but are suppressed by the Planck energy as
(~GeV), (~GeV), or its higher powers. The coupling of particles to these
effects is too small to measure in kinematic observables, but the phase shift
of neutrino waves could cause observable flavour conversions. Here, we report
the first result of neutrino interferometry~\cite{Aartsen:2017ibm} using
astrophysical neutrino flavours to search for new space-time structure. We did
not find any evidence of anomalous flavour conversion in IceCube astrophysical
neutrino flavour data. We place the most stringent limits of any known
technologies, down to ~GeV, on the dimension-six operators
that parameterize the space-time defects for preferred astrophysical production
scenarios. For the first time, we unambiguously reach the signal region of
quantum-gravity-motivated physics.Comment: The main text is 7 pages with 3 figures and 1 table. The Appendix
includes 5 pages with 3 figure
Strong Constraints on Neutrino Nonstandard Interactions from TeV-Scale ν Disappearance at IceCube
We report a search for nonstandard neutrino interactions (NSI) using eight years of TeV-scale atmospheric muon neutrino data from the IceCube Neutrino Observatory. By reconstructing incident energies and zenith angles for atmospheric neutrino events, this analysis presents unified confidence intervals for the NSI parameter εμτ. The best-fit value is consistent with no NSI at a p value of 25.2%. With a 90% confidence interval of −0.0041≤εμτ≤0.0031 along the real axis and similar strength in the complex plane, this result is the strongest constraint on any NSI parameter from any oscillation channel to date
All-flavor constraints on nonstandard neutrino interactions and generalized matter potential with three years of IceCube DeepCore data
We report constraints on nonstandard neutrino interactions (NSI) from the observation of atmospheric neutrinos with IceCube, limiting all individual coupling strengths from a single dataset. Furthermore, IceCube is the first experiment to constrain flavor-violating and nonuniversal couplings simultaneously. Hypothetical NSI are generically expected to arise due to the exchange of a new heavy mediator particle. Neutrinos propagating in matter scatter off fermions in the forward direction with negligible momentum transfer. Hence the study of the matter effect on neutrinos propagating in the Earth is sensitive to NSI independently of the energy scale of new physics. We present constraints on NSI obtained with an all-flavor event sample of atmospheric neutrinos based on three years of IceCube DeepCore data. The analysis uses neutrinos arriving from all directions, with reconstructed energies between 5.6 GeV and 100 GeV. We report constraints on the individual NSI coupling strengths considered singly, allowing for complex phases in the case of flavor-violating couplings. This demonstrates that IceCube is sensitive to the full NSI flavor structure at a level competitive with limits from the global analysis of all other experiments. In addition, we investigate a generalized matter potential, whose overall scale and flavor structure are also constrained
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