Glucose hypometabolism in the Auditory Pathway in Age Related Hearing Loss in the ADNI cohort

Purpose: Hearing loss (HL) is one of the most common age-related diseases. Here, we investigate the central auditory correlates of HL in people with normal cognition and mild cognitive impairment (MCI) and test their association with genetic markers with the aim of revealing pathogenic mechanisms. / Methods: Brain glucose metabolism based on FDG-PET, self-reported HL status, and genetic data were obtained from the Alzheimer’s Disease Neuroimaging Initiative (ADNI) cohort. FDG-PET data was analysed from 742 control subjects (non-HL with normal cognition or MCI) and 162 cases (HL with normal cognition or MCI) with age ranges of 72.2 ± 7.1 and 77.4 ± 6.4, respectively. Voxel-wise statistics of FDG uptake differences between cases and controls were computed using the generalised linear model in SPM12. An additional 1515 FDG-PET scans of 618 participants were analysed using linear mixed effect models to assess longitudinal HL effects. Furthermore, a quantitative trait genome-wide association study (GWAS) was conducted on the glucose uptake within regions of interest (ROIs), which were defined by the voxel-wise comparison, using genotyping data with 5,082,878 variants available for HL cases and HL controls (N = 817). / Results: The HL group exhibited hypometabolism in the bilateral Heschl’s gyrus (kleft = 323; kright = 151; Tleft = 4.55; Tright = 4.14; peak Puncorr < 0.001), the inferior colliculus (k = 219;T = 3.53; peak Puncorr < 0.001) and cochlear nucleus (k = 18;T = 3.55; peak Puncorr < 0.001) after age correction and using a cluster forming height threshold P < 0.005 (FWE-uncorrected). Moreover, in an age-matched subset, the cluster comprising the left Heschl’s gyrus survived the FWE-correction (kleft = 1903; Tleft = 4.39; cluster PFWE-corr = 0.001). The quantitative trait GWAS identified no genome-wide significant locus in the three HL ROIs. However, various loci were associated at the suggestive threshold (p < 1e-05). / Conclusion: Compared to the non-HL group, glucose metabolism in the HL group was lower in the auditory cortex, the inferior colliculus, and the cochlear nucleus although the effect sizes were small. The GWAS identified candidate genes that might influence FDG uptake in these regions. However, the specific biological pathway(s) underlying the role of these genes in FDG-hypometabolism in the auditory pathway requires further investigation

Essential elements nurses have to address to promote a safe discharge in paediatrics: A systematic review and narrative synthesis

Aim: The aim of the study was to synthesize the evidence on the essential elements, nurses must address when they perform therapeutic education to patients and their caregivers to promote a safe paediatric hospital-to-home discharge. Design: A systematic review and narrative synthesis. Methods: The search strategy identifies studies published between 2016 and 2023. The quality of the included studies was assessed using the Critical Appraisal Skills Programme checklists. The protocol of this review was not registered. A search of three electronic databases (PubMed, CINAHL and Web of Science) and a search in the reference lists of the included studies was conducted in February 2021 and June 2023. Results: Fifteen studies met the inclusion criteria. The essential elements identified are grouped into the following topics: emergency management, physiological needs, medical device and medications management, long-term management and short-term management. Nurses have a critical role in ensuring patient safety and quality of care, and the nurses' competence makes the difference in the discharge's related outcomes. Our results can help the nursing profession implement comprehensive discharge projects. Our results support the improvement of nurse-led paediatric discharge programmes. Nurse managers can identify the grey areas of therapeutic education provided in their units and work for their improvement. Following the implementation of therapeutic education on these topics, measuring the discharge's related outcomes could be interesting. This study addresses the problem of managing a safe and efficient nurse-led discharge in a paediatric setting. It presents evidence on the essential elements to promote a safe paediatric discharge at home. These could impact nursing practice by using them to implement project and discharge pathways. We have adhered to relevant EQUATOR guidelines—PRISMA guidelines for reporting systematic review. No patients, service users, caregivers or public members were involved in this study due to its nature (systematic review)

Chemical composition of the Taurus-Auriga association

The Taurus-Auriga association is perhaps the most famous prototype of a low-mass star forming region, surveyed at almost all wavelengths. Unfortunately, like several other young clusters/associations, this T association lacks an extensive abundance analysis determination. We present a high-resolution spectroscopic study of seven low-mass members of Taurus-Auriga, including both weak-lined and classical T Tauri stars designed to help robustly determine their metallicity. After correcting for spectral veiling, we performed equivalent width and spectral synthesis analyses using the GAIA set of model atmospheres and the 2002 version of the code MOOG. We find a solar metallicity, obtaining a mean value of [Fe/H]=$-0.01\pm$0.05. The $\alpha$-element Si and the Fe-peak one Ni confirm a solar composition. Our work shows that the dispersion among members is well within the observational errors at variance with previous claims. As in other star forming regions, no metal-rich members are found, reinforcing the idea that old planet-host stars form in the inner part of the Galactic disc and subsequently migrate.Comment: In press on A\&

Line intensity enhancements in stellar coronal X-ray spectra due to opacity effects

Context. The I(15.01 A)/I(16.78 A) emission line intensity ratio in Fe XVII has been reported to deviate from its theoretical value in solar and stellar X-ray spectra. This is attributed to opacity in the 15.01 A line, leading to a reduction in its intensity, and was interpreted in terms of a geometry in which the emitters and absorbers are spatially distinct. Aims. We study the I(15.01 A)/I(16.78 A) intensity ratio for the active cool dwarf EV Lac, in both flare and quiescent spectra. Methods. The observations were obtained with the Reflection Grating Spectrometer on the XMM-Newton satellite. The emission measure distribution versus temperature reconstruction technique is used for our analysis. Results. We find that the 15.01 A line exhibits a significant enhancement in intensity over the optically thin value. To our knowledge, this is the first time that such an enhancement has been detected on such a sound statistical basis. We interpret this enhancement in terms of a geometry in which the emitters and absorbers are not spatially distinct, and where the geometry is such that resonant pumping of the upper level has a greater effect on the observed line intensity than resonant absorption in the line-of-sight.Comment: accepted for publication in A&

Hippocampal subfield volumetry: differential pattern of atrophy in different forms of genetic frontotemporal dementia

BACKGROUND: Frontotemporal dementia (FTD) is a heterogeneous neurodegenerative disorder, with a strong genetic component. Previous research has shown that medial temporal lobe atrophy is a common feature of FTD. However, no study has so far investigated the differential vulnerability of the hippocampal subfields in FTD. OBJECTIVES: We aimed to investigate hippocampal subfield volumes in genetic FTD. METHODS: We in6/2/2018vestigated hippocampal subfield volumes in a cohort of 75 patients with genetic FTD (age: mean (standard deviation) 59.3 (7.7) years; disease duration: 5.1(3.4) years; 29 with MAPT, 28 with C9orf72, and 18 with GRN mutations) compared with 97 age-matched controls (age: 62.1 (11.1) years). We performed a segmentation of their volumetric T1-weighted MRI scans to extract hippocampal subfields volumes. Left and right volumes were summed and corrected for total intracranial volumes. RESULTS: All three groups had smaller hippocampi than controls. The MAPT group had the most atrophic hippocampi, with the subfields showing the largest difference from controls being CA1-4 (24–27%, p < 0.0005). For C9orf72, the CA4, CA1, and dentate gyrus regions (8–11%, p < 0.0005), and for GRN the presubiculum and subiculum (10–14%, p < 0.0005) showed the largest differences from controls. CONCLUSIONS: The hippocampus was affected in all mutation types but a different pattern of subfield involvement was found in the three genetic groups, consistent with differential cortical-subcortical network vulnerability

The flaring and quiescent components of the solar corona

The solar corona is a template to understand stellar activity. The Sun is a moderately active star, and its corona differs from active stars: active stellar coronae have a double-peaked EM(T) with the hot peak at 8-20 MK, while the non flaring solar corona has one peak at 1-2 MK. We study the average contribution of flares to the solar EM(T) to investigate indirectly the hypothesis that the hot peak of the EM(T) of active stellar coronae is due to a large number of unresolved solar-like flares, and to infer properties on the flare distribution from nano- to macro-flares. We measure the disk-integrated time-averaged emission measure, EM_F(T), of an unbiased sample of solar flares analyzing uninterrupted GOES/XRS light curves over time intervals of one month. We obtain the EM_Q(T) of quiescent corona for the same time intervals from the Yohkoh/SXT data. To investigate how EM_F(T) and EM_Q(T) vary with the solar cycle, we evaluate them at different phases of the cycle (from Dec. 1991 to Apr. 1998). Irrespective of the solar cycle phase, EM_F(T) appears like a peak of the distribution significantly larger than the values of EM_Q(T) for T~5-10 MK. As a result the time-averaged EM(T) of the whole solar corona is double-peaked, with the hot peak, due to time-averaged flares, located at temperature similar of that of active stars, but less enhanced. The EM_F(T) shape supports the hypothesis that the hot EM(T) peak of active coronae is due to unresolved solar-like flares. If this is the case, quiescent and flare components should follow different scaling laws for increasing stellar activity. In the assumption that the heating of the corona is entirely due to flares, from nano- to macro-flares, then either the flare distribution or the confined plasma response to flares, or both, are bimodal.Comment: 8 pages, 7 postscript figures, accepted for publication in Astronomy and Astrophysic

An assessment of Li abundances in weak-lined and classical T Tauri stars of the Taurus-Auriga association

Accurate measurements of lithium abundances in young low-mass stars provide an independent and reliable age diagnostics. Previous studies of nearby star forming regions have identified significant numbers of Li-depleted stars,often at levels inconsistent with the ages indicated by their luminosity. We aim at a new and accurate analysis of Li abundances in a sample of ~100 pre-main sequence stars in Taurus-Auriga using a homogeneous and updated set of stellar parameters and model atmospheres appropriate for the spectral types of the sample stars.We compute Li abundances using published values of the equivalent widths of the Li 6708 A doublet obtained from medium/high resolution spectra. We find that the number of significantly Li-depleted stars in Taurus-Auriga is greatly reduced with respect to earlier results. Only 13 stars have abundances lower than the interstellar value by a factor of 5 or greater. All of them are weak-lined T Tauri stars drawn from X-ray surveys; with the exception of four stars located near the L1551 and L1489 dark clouds, all the Li-depleted stars belong to the class of dispersed low-mass stars, distributed around the main sites of current star formation. If located at the distance of Taurus-Auriga, the stellar ages implied by the derived Li abundances are in the range 3-30 Myr, greater than the bulk of the Li-rich population with implication on the star formation history of the region. In order to derive firm conclusions about the fraction of Li-depleted stars of Taurus-Auriga, Li measurements of the remaining members of the association should be obtained, in particular of the group of stars that fall in the Li-burning region of the HR diagram.Comment: Accepted for publication in Astronomy & Astrophysics. 20 pages, 5 figure

The XMM-Newton Extended Survey of the Taurus Molecular Cloud (XEST)

(abridged:) The XMM-Newton Extended Survey of the Taurus Molecular Cloud (XEST) surveys the most populated ~5 square degrees of the Taurus star formation region, using the XMM-Newton X-ray observatory to study the thermal structure, variability, and long-term evolution of hot plasma, to investigate the magnetic dynamo, and to search for new potential members of the association. Many targets are also studied in the optical, and high-resolution X-ray grating spectroscopy has been obtained for selected bright sources. The X-ray spectra have been coherently analyzed with two different thermal models (2-component thermal model, and a continuous emission measure distribution model). We present overall correlations with fundamental stellar parameters that were derived from the previous literature. A few detections from Chandra observations have been added. The present overview paper introduces the project and provides the basic results from the X-ray analysis of all sources detected in the XEST survey.Comprehensive tables summarize the stellar properties of all targets surveyed. The survey goes deeper than previous X-ray surveys of Taurus by about an order of magnitude and for the first time systematically accesses very faint and strongly absorbed TMC objects. We find a detection rate of 85% and 98% for classical and weak-line T Tau stars (CTTS resp. WTTS), and identify about half of the surveyed protostars and brown dwarfs. Overall, 136 out of 169 surveyed stellar systems are detected. We describe an X-ray luminosity vs. mass correlation, discuss the distribution of X-ray-to-bolometric luminosity ratios, and show evidence for lower X-ray luminosities in CTTS compared to WTTS. Detailed analysis (e.g., variability, rotation-activity relations, influence of accretion on X-rays) will be discussed in a series of accompanying papers.Comment: 75 pg, 77 figs. Accepted by A&A, to appear in a special section/issue dedicated to the XMM-Newton Extended Survey of the Taurus Molecular Cloud (XEST). V2: ASCII Table 14 added. Version with higher resolution figures at http://www.issibern.ch/teams/Taurus/papers.html or http://www.astro.phys.ethz.ch/papers/guedel/guedel_p_nf.htm

KL∗VS heterozygosity reduces brain amyloid in asymptomatic at-risk APOE∗4 carriers

KLOTHO∗VS heterozygosity (KL∗VSHET+) was recently shown to be associated with reduced risk of Alzheimer's disease (AD) in APOE∗4 carriers. Additional studies suggest that KL∗VSHET+ protects against amyloid burden in cognitively normal older subjects, but sample sizes were too small to draw definitive conclusions. We performed a well-powered meta-analysis across 5 independent studies, comprising 3581 pre-clinical participants ages 60–80, to investigate whether KL∗VSHET+ reduces the risk of having an amyloid-positive positron emission tomography scan. Analyses were stratified by APOE∗4 status. KL∗VSHET+ reduced the risk of amyloid positivity in APOE∗4 carriers (odds ratio = 0.67 [0.52–0.88]; p = 3.5 × 10−3), but not in APOE∗4 non-carriers (odds ratio = 0.94 [0.73–1.21]; p = 0.63). The combination of APOE∗4 and KL∗VS genotypes should help enrich AD clinical trials for pre-symptomatic subjects at increased risk of developing amyloid aggregation and AD. KL-related pathways may help elucidate protective mechanisms against amyloid accumulation and merit exploration for novel AD drug targets. Future investigation of the biological mechanisms by which KL interacts with APOE∗4 and AD are warranted