Neurodegenerative disorder risk in idiopathic REM sleep behavior disorder: study in 174 Patients.

Objective To estimate the risk for developing a defined neurodegenerative syndrome in a large cohort of idiopathic REM sleep behavior disorder (IRBD) patients with long follow-up. Methods Using the Kaplan-Meier method, we estimated the disease-free survival rate from defined neurodegenerative syndromes in all the consecutive IRBD patients diagnosed and followed-up in our tertiary referal sleep center between November 1991 and July 2013. Results The cohort comprises 174 patients with a median age at diagnosis of IRBD of 69 years and a median follow-up of four years. The risk of a defined neurodegenerative syndrome from the time of IRBD diagnosis was 33.1% at five years, 75.7% at ten years, and 90.9% at 14 years. The median conversion time was 7.5 years. Emerging diagnoses (37.4%) were dementia with Lewy bodies (DLB) in 29 subjects, Parkinson disease (PD) in 22, multiple system atrophy (MSA) in two, and mild cognitive impairment (MCI) in 12. In six cases, in whom postmortem was performed, neuropathological examination disclosed neuronal loss and widespread Lewy-type pathology in the brain in each case. Conclusions In a large IRBD cohort diagnosed in a tertiary referal sleep center, prolonged follow-up indicated that the majority of patients are eventually diagnosed with the synucleinopathies PD, DLB and less frequently MSA. IRBD represented the prodromal period of these conditions. Our findings in IRBD have important implications in clinical practice, in the investigation of the early pathological events occurring in the synucleinopathies, and for the design of interventions with potential disease-modifying agents

Polycyclic aromatic hydrocarbon processing in interstellar shocks

Context: PAHs appear to be an ubiquitous interstellar dust component but the effects of shocks waves upon them have never been fully investigated. Aims: To study the effects of energetic (~0.01-1 keV) ion (H, He and C) and electron collisions on PAHs in interstellar shock waves.Methods: We calculate the ion-PAH and electron-PAH nuclear and electronic interactions, above the threshold for carbon atom loss from a PAH, in 50-200 km/s shock waves in the warm intercloud medium. Results: Interstellar PAHs (Nc = 50) do not survive in shocks with velocities greater than 100 km/s and larger PAHs (Nc = 200) are destroyed for shocks with velocities greater/equal to 125 km/s. For shocks in the ~75 - 100 km/s range, where destruction is not complete, the PAH structure is likely to be severely denatured by the loss of an important fraction (20-40%) of the carbon atoms. We derive typical PAH lifetimes of the order of a few x10^8 yr for the Galaxy. These results are robust and independent of the uncertainties in some key parameters that have yet to be well-determined experimentally. Conclusions: The observation of PAH emission in shock regions implies that that emission either arises outside the shocked region or that those regions entrain denser clumps that, unless they are completely ablated and eroded in the shocked gas, allow dust and PAHs to survive in extreme environments.Comment: 19 pages, 11 figures, 3 tables, typos corrected and PAH acronym in the title substituted with full name to match version published in Astronomy and Astrophysic

On the dust abundance gradients in late-type galaxies: I. Effects of destruction and growth of dust in the interstellar medium

We present basic theoretical constraints on the effects of destruction by supernovae (SNe) and growth of dust grains in the interstellar medium (ISM) on the radial distribution of dust in late-type galaxies. The radial gradient of the dust-to-metals ratio is shown to be essentially flat (zero) if interstellar dust is not destroyed by SN shock waves and all dust is produced in stars. If there is net dust destruction by SN shock waves, the dust-to-metals gradient is flatter than or equal to the metallicity gradient (assuming the gradients have the same sign). Similarly, if there is net dust growth in the ISM, then the dust-to-metals gradient is steeper than or equal to the metallicity gradient. The latter result implies that if dust gradients are steeper than metallicity gradients, i.e., the dust-to-metals gradients are not flat, then it is unlikely dust destruction by SN shock waves is an efficient process, while dust growth must be a significant mechanism for dust production. Moreover, we conclude that dust-to-metals gradients can be used as a diagnostic for interstellar dust growth in galaxy discs, where a negative slope indicates dust growth.Comment: 12 pages, 4 figures. Accepted for publication in MNRA

The global dust SED: Tracing the nature and evolution of dust with DustEM

The Planck and Herschel missions are currently measuring the farIR-mm emission of dust, which combined with existing IR data, will for the first time provide the full SED of the galactic ISM dust emission with an unprecedented sensitivity and angular resolution. It will allow a systematic study of the dust evolution processes that affect the SED. Here we present a versatile numerical tool, DustEM, that predicts the emission and extinction of dust given their size distribution and their optical and thermal properties. In order to model dust evolution, DustEM has been designed to deal with a variety of grain types, structures and size distributions and to be able to easily include new dust physics. We use DustEM to model the dust SED and extinction in the diffuse interstellar medium at high-galactic latitude (DHGL), a natural reference SED. We present a coherent set of observations for the DHGL SED. The dust components in our DHGL model are (i) PAHs, (ii) amorphous carbon and (iii) amorphous silicates. We use amorphous carbon dust, rather than graphite, because it better explains the observed high abundances of gas-phase carbon in shocked regions of the interstellar medium. Using the DustEM model, we illustrate how, in the optically thin limit, the IRAS/Planck HFI (and likewise Spitzer/Herschel for smaller spatial scales) photometric band ratios of the dust SED can disentangle the influence of the exciting radiation field intensity and constrain the abundance of small grains relative to the larger grains. We also discuss the contributions of the different grain populations to the IRAS, Planck and Herschel channels. Such information is required to enable a study of the evolution of dust as well as to systematically extract the dust thermal emission from CMB data and to analyze the emission in the Planck polarized channels. The DustEM code described in this paper is publically available.Comment: accepted for publication in A&

Mapping the cold dust temperatures and masses of nearby Kingfish galaxies with Herschel

Taking advantage of the sensitivity and angular resolution of the Herschel Space Observatory at far-infrared and submm wavelengths, we aim to characterize the physical properties of cold dust within nearby galaxies and study the robustness of the parameters we derive using different modified blackbody models. For a pilot subsample of the KINGFISH program, we perform 2 temperature fits of the Spitzer and Herschel photometric data (24 to 500um), with a warm and a cold component, globally and in each resolution element.At global scales, we observe ranges of values for beta_c(0.8 to 2.5) and Tc(19.1 to 25.1K).We compute maps of our parameters with beta fixed or free to test the robustness of the temperature and dust surface density maps we deduce. When the emissivity is fixed, we observe temperature gradients as a function of radius.When the emissivity is fitted as a free parameter, barred galaxies tend to have uniform fitted emissivities.Gathering resolved elements in a Tc-beta_c diagram underlines an anti-correlation between the two parameters.It remains difficult to assess whether the dominant effect is the physics of dust grains, noise, or mixing along the line of sight and in the beam. We finally observe in both cases that the dust column density peaks in central regions of galaxies and bar ends (coinciding with molecular gas density enhancements usually found in these locations).We also quantify how the total dust mass varies with our assumptions about the emissivity index as well as the influence of the wavelength coverage used in the fits. We show that modified blackbody fits using a shallow emissivity (beta_c < 2.0) lead to significantly lower dust masses compared to the beta_c < 2.0 case, with dust masses lower by up to 50% if beta_c=1.5 for instance.The working resolution affects our total dust mass estimates: masses increase from global fits to spatially-resolved fits.Comment: 26 pages, 12 figures, 4 tables, accepted for publication in MNRAS, 2012 June 2

Probing the Dust Properties of Galaxies at Submillimetre Wavelengths II. Dust-to-gas mass ratio trends with metallicity and the submm excess in dwarf galaxies

We are studying the effects of submm observations on the total dust mass and thus dust-to-gas mass ratio measurements. We gather a wide sample of galaxies that have been observed at submm wavelengths to model their Spectral Energy Distributions using submm observations and then without submm observational constraints in order to quantify the error on the dust mass when submm data are not available. Our model does not make strong assumptions on the dust temperature distribution to precisely avoid submm biaises in the study. Our sample includes 52 galaxies observed at submm wavelengths. Out of these, 9 galaxies show an excess in submm which is not accounted for in our fiducial model, most of these galaxies being low- metallicity dwarfs. We chose to add an independant very cold dust component (T=10K) to account for this excess. We find that metal-rich galaxies modelled with submm data often show lower dust masses than when modelled without submm data. Indeed, these galaxies usually have dust SEDs that peaks at longer wavelengths and require constraints above 160 um to correctly position the peak and sample the submillimeter slope of their SEDs and thus correctly cover the dust temperature distribution. On the other hand, some metal-poor dwarf galaxies modelled with submm data show higher dust masses than when modelled without submm data. Using submm constraints for the dust mass estimates, we find a tightened correlation of the dust-to-gas mass ratio with the metallicity of the galaxies. We also often find that when there is a submm excess present, it occurs preferentially in low-metallicity galaxies. We analyse the conditions for the presence of this excess and find a relation between the 160/850 um ratio and the submm excess.Comment: 19 pages, 10 figures, 1 table, accepted for publication in A&

On the dust abundance gradients in late-type galaxies: II. Analytical models as evidence for massive interstellar dust growth in SINGS galaxies

We use simple analytical models of the build up of the dust component and compare these with radial dust distributions derived from observations of SINGS galaxies. The observations show that dust gradients are indeed typically steeper than the corresponding metallicity gradients and our models indicate very little dust destruction, but significant dust growth in the ISM for most of these galaxies. Hence, we conclude that there is evidence for significant non-stellar dust production, and little evidence for dust destruction due to SNe shock waves. We find that dust is reprocessed rather than destroyed by shocks from SNe. Finally, we argue that dust abundances derived using standard methods may be overestimated, since even very 'generous' estimates of the metallicity results in dust-to-metals ratios above unity in several cases, if the dust abundances given in the literature are taken at face value.Comment: 12 pages, 3 figures. Accepted for publication in MNRA

The Herschel Virgo Cluster Survey. III. A constraint on dust grain lifetime in early-type galaxies

Passive early-type galaxies (ETGs) provide an ideal laboratory for studying the interplay between dust formation around evolved stars and its subsequent destruction in a hot gas. Using Spitzer-IRS and Herschel data we compare the dust production rate in the envelopes of evolved AGB stars with a constraint on the total dust mass. Early-type galaxies which appear to be truly passively evolving are not detected by Herschel. We thus derive a distance independent upper limit to the dust grain survival time in the hostile environment of ETGs of &lt;46 \ub1 25 Myr for amorphous silicate grains. This implies that ETGs which are detected at far-infrared wavelengths have acquired a cool dusty medium via interaction. Given likely time-scales for ram-pressure stripping, this also implies that only galaxies with dust in a cool (atomic) medium can release dust into the intra-cluster medium

Dietary diversity and nutritional adequacy among an older Spanish population with metabolic syndrome in the PREDIMED-Plus study: a cross-sectional analysis

Dietary guidelines emphasize the importance of a varied diet to provide an adequate nutrient intake. However, an older age is often associated with consumption of monotonous diets that can be nutritionally inadequate, increasing the risk for the development or progression of diet-related chronic diseases, such as metabolic syndrome (MetS). To assess the association between dietary diversity (DD) and nutrient intake adequacy and to identify demographic variables associated with DD, we cross-sectionally analyzed baseline data from the PREDIMED-Plus trial: 6587 Spanish adults aged 55-75 years, with overweight/obesity who also had MetS. An energy-adjusted dietary diversity score (DDS) was calculated using a 143-item validated semi-quantitative food frequency questionnaire (FFQ). Nutrient inadequacy was defined as an intake below 2/3 of the dietary reference intake (DRI) forat least four of 17 nutrients proposed by the Institute of Medicine (IOM). Logistic regression models were used to evaluate the association between DDS and the risk of nutritionally inadequate intakes. In the higher DDS quartile there were more women and less current smokers. Compared with subjects in the highest DDS quartile, those in the lowest DDS quartile had a higher risk of inadequate nutrient intake: odds ratio (OR) = 28.56 (95% confidence interval (CI) 20.80-39.21). When we estimated food varietyfor each of the food groups, participants in the lowest quartile had a higher risk of inadequate nutrient intake for the groups of vegetables, OR = 14.03 (95% CI 10.55-18.65), fruits OR = 11.62 (95% CI 6.81-19.81), dairy products OR = 6.54 (95% CI 4.64-9.22) and protein foods OR = 6.60 (95% CI 1.96-22.24). As DDS decreased, the risk of inadequate nutrients intake rose. Given the impact of nutrient intake adequacy on the prevention of non-communicable diseases, health policies should focus on the promotion of a healthy varied diet, specifically promoting the intake of vegetables and fruit among population groups with lower DDS such as men, smokers or widow(er)s

Prospective associations between a priori dietary patterns adherence and kidney function in an elderly Mediterranean population at high cardiovascular risk.

PURPOSE: To assess the association between three different a priori dietary patterns adherence (17-item energy reduced-Mediterranean Diet (MedDiet), Trichopoulou-MedDiet and Dietary Approach to Stop Hypertension (DASH)), as well as the Protein Diet Score and kidney function decline after one year of follow-up in elderly individuals with overweight/obesity and metabolic syndrome (MetS). METHODS: We prospectively analyzed 5675 participants (55-75 years) from the PREDIMED-Plus study. At baseline and at one year, we evaluated the creatinine-based estimated glomerular filtration rate (eGFR) and food-frequency questionnaires-derived dietary scores. Associations between four categories (decrease/maintenance and tertiles of increase) of each dietary pattern and changes in eGFR (ml/min/1.73m2) or ≥ 10% eGFR decline were assessed by fitting multivariable linear or logistic regression models, as appropriate. RESULTS: Participants in the highest tertile of increase in 17-item erMedDiet Score showed higher upward changes in eGFR (β: 1.87 ml/min/1.73m2; 95% CI: 1.00-2.73) and had lower odds of ≥ 10% eGFR decline (OR: 0.62; 95% CI: 0.47-0.82) compared to individuals in the decrease/maintenance category, while Trichopoulou-MedDiet and DASH Scores were not associated with any renal outcomes. Those in the highest tertile of increase in Protein Diet Score had greater downward changes in eGFR (β: - 0.87 ml/min/1.73m2; 95% CI: - 1.73 to - 0.01) and 32% higher odds of eGFR decline (OR: 1.32; 95% CI: 1.00-1.75). CONCLUSIONS: Among elderly individuals with overweight/obesity and MetS, only higher upward change in the 17-item erMedDiet score adherence was associated with better kidney function after one year. However, increasing Protein Diet Score appeared to have an adverse impact on kidney health. TRIAL REGISTRATION NUMBER: ISRCTN89898870 (Data of registration: 2014)