Do informal caregivers of people with dementia mirror the cognitive deficits of their demented patients?:A pilot study

Recent research suggests that informal caregivers of people with dementia (ICs) experience more cognitive deficits than noncaregivers. The reason for this is not yet clear. Objective: to test the hypothesis that ICs ‘mirror' the cognitive deficits of the demented people they care for. Participants and methods: 105 adult ICs were asked to complete three neuropsychological tests: letter fluency, category fluency, and the logical memory test from the WMS-III. The ICs were grouped according to the diagnosis of their demented patients. One-sample ttests were conducted to investigate if the standardized mean scores (t-scores) of the ICs were different from normative data. A Bonferroni correction was used to correct for multiple comparisons. Results: 82 ICs cared for people with Alzheimer's dementia and 23 ICs cared for people with vascular dementia. Mean letter fluency score of the ICs of people with Alzheimer's dementia was significantly lower than the normative mean letter fluency score, p = .002. The other tests yielded no significant results. Conclusion: our data shows that ICs of Alzheimer patients have cognitive deficits on the letter fluency test. This test primarily measures executive functioning and it has been found to be sensitive to mild cognitive impairment in recent research. Our data tentatively suggests that ICs who care for Alzheimer patients also show signs of cognitive impairment but that it is too early to tell if this is cause for concern or not

Everyday crying over music:A survey

Human emotional weeping, or crying, occurs in response to a wide array of antecedents. Although music is often mentioned specifically as a stimulus that may make individuals cry, few studies have systematically explored the characteristics of these crying episodes. The present study examines crying over music. Participants (N = 2778; 1716 women) completed a survey asking about the last time they cried while listening to music, their associated emotions and physical experiences, details of the song they were listening to, time of day, presence of others, and the overall experience of the crying episode itself. Crying over music appears to be relatively common and occurs mainly when the person is alone during the afternoon and evening. Participants cried over a wide variety of songs, and they attributed their crying to sad memories, nostalgia, the music itself, and the lyrics. They often experienced being moved, sadness, powerlessness, and nostalgia while crying over music. These findings are discussed in the context of music listening and how they compare with the findings of research on crying in general

The COMPlaints After Stroke (COMPAS) study:Protocol for a Dutch cohort study on poststroke subjective cognitive complaints

Background Although many studies have assessed poststroke objective cognitive impairment, only a few have evaluated patients’ subjective cognitive complaints (SCC). Although these SCC are found to be common in the early and chronic phases after stroke, knowledge about their risk factors, course over time, differences with healthy controls and their diagnostic relevance is limited. The aim of the COMPlaints After Stroke (COMPAS) study is therefore to determine the possible risk factors, prognosis, time course and predictive value of SCC in the first 2 years after stroke. Methods and design A prospective cohort study is conducted in which patients are compared to non-stroke controls at 3, 6, 12 and 24 months after stroke. Approximately 300 patients are recruited from the stroke units of three hospitals in the Netherlands, while 300 controls are sought among the relatives (spouses excluded) and social networks of participants. A wide range of subjective and objective variables is assessed in both groups using interviews, questionnaires and neuropsychological assessment. The primary outcomes include SCC and objective cognitive impairment, whereas secondary outcomes are quality of life, subjective recovery and daily life functioning. Ethics and dissemination The study is being carried out in agreement with the Declaration of Helsinki and the Medical Research Involving Human Subjects Act. The protocol has been approved by the medical ethics committees of the participating centres and all participants give written informed consent. The results will be published in peer-reviewed journals and disseminated to the medical society and general public. Discussion The COMPAS study is the first to systematically evaluate poststroke SCC in a prospective longitudinal design, taking a wide range of subjective and objective variables into account. The results obtained can be used to accurately inform patients and their families, as well as to develop patient-tailored intervention programmes to ultimately improve stroke patient care

Psychological factors and subjective cognitive complaints after stroke:Beyond depression and anxiety

Subjective Cognitive Complaints (SCC) are common after stroke and adversely affect quality of life. In the present study, we determined the associations of depression, anxiety, perceived stress and fatigue with post-stroke SCC, and whether these associations were independent of objective cognitive functioning, stroke characteristics and individual differences in personality traits and coping styles. Using a cross-sectional design, SCC and psychological measures were obtained in 208 patients (mean 3.3 ± 0.5 months after stroke; 65.9% men; mean age 64.9 ± 12.4 years). SCC were assessed using the Checklist for Cognitive and Emotional consequences following stroke (CLCE) inventory. Validated questionnaires were used to measure depression and anxiety (Hospital Anxiety and Depression Scale), perceived stress (Perceived Stress Scale), fatigue (Fatigue Assessment Scale), personality traits (Eysenck Personality Questionnaire Revised Short Scale) and coping style (Utrecht Coping List). Multivariate hierarchical linear regression analyses were used to adjust for covariates. Depression (β = 0.35), anxiety (β = 0.38), perceived stress (β = 0.39), and fatigue (β = 0.39) were associated with CLCE scores, independent of demographic, cognitive performance and stroke-related covariates. After including personality traits and coping styles in the model, independent associations with CLCE scores were found for fatigue (β = 0.26, p = .003) and neuroticism (β = 0.21, p = .05). Interventions aimed at improving psychological resilience and increasing energy levels might be a worthwhile addition to stroke rehabilitation programmes by reducing SCC and improving quality of life

Ferrohydrodynamics: testing a new magnetization equation

A new magnetization equation recently derived from irreversible thermodynamics is employed to the calculation of an increase of ferrofluid viscosity in a magnetic field. Results of the calculations are compared with those obtained on the basis of two well-known magnetization equations. One of the two was obtained phenomenologically, another one was derived microscopically from the Fokker-Planck equation. It is shown that the new magnetization equation yields a quite satisfactory description of magnetiviscosity in the entire region of magnetic field strength and the flow vorticity. This equation turns out to be valid -- like the microscopically derived equation but unlike the former phenomenological equation -- even far from equilibrium, and so it should be recommended for further applications.Comment: 4 pages, 3 figures, Submitted to Phys. Rev.

The evolution of body size, antennal size and host use in parasitoid wasps (hymenoptera: chalcidoidea): a phylogenetic comparative analysis

Chalcidoid wasps represent one of the most speciose superfamilies of animals known, with ca. 23,000 species described of which many are parasitoids. They are extremely diverse in body size, morphology and, among the parasitoids, insect hosts. Parasitic chalcidoids utilise a range of behavioural adaptations to facilitate exploitation of their diverse insect hosts, but how host use might influence the evolution of body size and morphology is not known in this group. We used a phylogenetic comparative analysis of 126 chalcidoid species to examine whether body size and antennal size showed evolutionary correlations with aspects of host use, including host breadth (specificity), host identity (orders of insects parasitized) and number of plant associates. Both morphological features and identity of exploited host orders show strong phylogenetic signal, but host breadth does not. Larger body size in these wasps was weakly associated with few plant genera, and with more specialised host use, and chalcidoid wasps that parasitize coleopteran hosts tend to be larger. Intriguingly, chalcidoid wasps that parasitize hemipteran hosts are both smaller in size in the case of those parasitizing the suborder Sternorrhyncha and have relatively larger antennae, particularly in those that parasitize other hemipteran suborders. These results suggest there are adaptations in chalcidoid wasps that are specifically associated with host detection and exploitation

Long term Mesenchymal stem cell culture on a defined synthetic substrate with enzyme free passaging

Mesenchymal stems cells (MSCs) are currently the focus of numerous therapeutic approaches in tissue engineering/repair because of their wide multi-lineage potential and their ability to modulate the immune system response following transplantation. Culturing these cells, while maintaining their multipotency in vitro, currently relies on biological substrates such as gelatin, collagen and fibronectin. In addition, harvesting cells from these substrates requires enzymatic or chemical treatment, a process that will remove a multitude of cellular surface proteins, clearly an undesirable process if cells are to be used therapeutically. Herein, we applied a high-throughput ‘hydrogel microarray’ screening approach to identify thermo-modulatable substrates which can support hES-MP and ADMSC growth, permit gentle reagent free passaging, whilst maintaining multi-lineage potential. In summary, the hydrogel substrate identified, poly(AEtMA-Cl-co-DEAA) cross-linked with MBA, permitted MSCs to be maintained over 10 passages (each time via thermo-modulation), with the cells retaining expression of MSC associated markers and lineage potency. This chemically defined system allowed the passaging and maintenance of cellular phenotype of this clinically important cell type, in the absence of harsh passaging and the need for biological substrates

Estimating the feasibility of transition paths in extended finite state machines

There has been significant interest in automating testing on the basis of an extended finite state machine (EFSM) model of the required behaviour of the implementation under test (IUT). Many test criteria require that certain parts of the EFSM are executed. For example, we may want to execute every transition of the EFSM. In order to find a test suite (set of input sequences) that achieves this we might first derive a set of paths through the EFSM that satisfy the criterion using, for example, algorithms from graph theory. We then attempt to produce input sequences that trigger these paths. Unfortunately, however, the EFSM might have infeasible paths and the problem of determining whether a path is feasible is generally undecidable. This paper describes an approach in which a fitness function is used to estimate how easy it is to find an input sequence to trigger a given path through an EFSM. Such a fitness function could be used in a search-based approach in which we search for a path with good fitness that achieves a test objective, such as executing a particular transition, and then search for an input sequence that triggers the path. If this second search fails then we search for another path with good fitness and repeat the process. We give a computationally inexpensive approach (fitness function) that estimates the feasibility of a path. In order to evaluate this fitness function we compared the fitness of a path with the ease with which an input sequence can be produced using search to trigger the path and we used random sampling in order to estimate this. The empirical evidence suggests that a reasonably good correlation (0.72 and 0.62) exists between the fitness of a path, produced using the proposed fitness function, and an estimate of the ease with which we can randomly generate an input sequence to trigger the path