Interactions of motor and non-motor symptoms in Parkinson's disease

Parkinson’s disease (PD) is characterized by motor dysfunction and multiple non-motor symptoms. Though motor/non-motor interactions are common, the lines of research focusing on motor and non-motor symptoms mainly remain separate. The present studies assessed interactions between several motor aspects of PD (impaired gait, side of motor-symptom onset, tremor, motor-symptom severity) and non-motor symptoms (cognition, anxiety, self-perceived stigma) in non-demented individuals with idiopathic PD. Study 1 examined cognitive and motor performance during dual tasking, specifically executive function while walking. The impact of dual tasking on walking (speed, stride frequency) was greater for PD (N=19) than NC participants (N=13). The PD group had fewer set-shifts than NC on dual tasking, and demonstrated greater cognitive variability on dual tasking. Study 2 considered mechanisms of visuospatial dysfunction in PD (N=79) by assessing how side of motor-symptom onset (left versus right) and cognition (attention, executive function) affect spatial judgment on a dynamic line bisection task. In contrast to a rightward-biased parietal-neglect pattern, the PD group showed a leftward bias that occurred when attention was directed to the left side of space, regardless of side of onset. The extent and variability of bias correlated with frontally-mediated neuropsychological performance for PD but not NC (N=67). Both results suggested frontal-attentional rather than parietal-neglect mechanisms of spatial bias. Study 3 assessed how motor symptoms contribute to self-reported anxiety on the Beck Anxiety Inventory (BAI). Factor analysis identified a five-item PD motor factor, which correlated with motor-symptom severity and mediated the difference on BAI total scores between PD (N=100) and NC (N=74). Removal of the motor-factor items (e.g., “hands trembling”) significantly reduced BAI scores for PD relative to NC and reduced the size of the correlation between the BAI and motor-symptom severity. Study 4 examined the contributions of motor and non-motor symptoms to self-perceived stigma in PD (N=362). Contrary to expectations, perceived stigma was not predicted by motor symptoms but rather by depression and, for men only, by younger age. These studies provide insight into interactions that occur between motor and non-motor symptoms in PD in multiple aspects of daily function, highlighting potential avenues for future research and intervention

Spatial judgment in Parkinson's disease: Contributions of attentional and executive dysfunction

Spatial judgment is impaired in Parkinson's disease (PD), with previous research suggesting that disruptions in attention and executive function are likely contributors. If judgment of center places demands on frontal systems, performance on tests of attention/executive function may correlate with extent of bias in PD, and attentional disturbance may predict inconsistency in spatial judgment. The relation of spatial judgment to attention/executive function may differ for those with left-side versus right-side motor onset (LPD, RPD), reflecting effects of attentional lateralization. We assessed 42 RPD, 37 LPD, and 67 healthy control participants with a Landmark task (LM) in which a cursor moved horizontally from the right (right-LM) or left (left-LM). The task was to judge the center of the line. Participants also performed neuropsychological tests of attention and executive function. LM group differences were found on left-LM only, with both PD subgroups biased leftward of the control group (RPD p < .05; LPD p < .01; no RPD-LPD difference). For left-LM trials, extent of bias significantly correlated with performance on the cognitive tasks for PD but not for the control group. PD showed greater variability in perceived center than the control group; this variability correlated with performance on the cognitive tasks. The correlations between performance on the test of spatial judgment and the tests of attention/executive function suggest that frontal-based attentional dysfunction affects dynamic spatial judgment, both in extent of spatial bias and in consistency of response as indexed by intertrial variability. (PsycINFO Database Record (c) 2019 APA, all rights reserved).R01 NS067128 - NINDS NIH HHS; R21 NS043730 - NINDS NIH HHS; National Institute of Neurological Disorders and Stroke; American Parkinson's Disease Association; Massachusetts ChapterAccepted manuscrip

Photoacoustic ultrasound sources from diffusion-limited aggregates

Metallic diffusion-limited aggregate (DLA) films are well-known to exhibit near-perfect broadband optical absorption. We demonstrate that such films also manifest a substantial and relatively material-independent photoacoustic response, as a consequence of their random nanostructure. We theoretically and experimentally analyze photoacoustic phenomena in DLA films, and show that they can be used to create broadband air- coupled acoustic sources. These sources are inexpensive and simple to fabricate, and work into the ultrasonic regime. We illustrate the device possibilities by building and testing an optically-addressed acoustic phased array capable of producing virtually arbitrary acoustic intensity patterns in air.Comment: 5 pages, 5 figure

Dissolution of minor sulphides present in a pyritic sludge at pH 3 and 25º C

The steady-state dissolution rates of galena, sphalerite and chalcopyrite at pH 3 under oxygen saturated atmosphere and at 25ºC are obtained by means of non-stirred flow-through experiments. These dissolution rates are compared with those estimated by dissolving pyritic sludge from the Aznalcollar mining tailings composed of pyrite and minor sulphides galena, sphalerite and chalcopyrite.Based on the respective release of Fe, Pb, Zn and Cu, the steady-state dissolution rates of pyrite (RateFe), galena (RatePb), sphalerite (RateZn) and chalcopyrite (RateCu) are 6.33 ± 0.95 x 10-11, 1.2 ± 0.18x10-10, 1.3 ± 0.20x10-11 and 1.71 ± 0.25x10-11 mol m-2 s-1, respectively, yielding RatePb > RateFe > RateZn = RateCu. Based on the release of metal and sulphur to solution, the stoichiometric ratios Pb/S, Zn/S and Cu/S are 4 ± 0.25, 1.2 ± 0.1 and 0.90 ± 0.05 for the respective dissolution reactions of galena, sphalerite and chalcopyrite, which are higher than the ideal ones. These high values result from a sulphur deficit in the output solutions attributed to the loss of H2S(aq) via gasification by which H2S(aq) partially converts to H2S(g). Nevertheless, the Cu/Fe ratio is 0.95 ± 0.05 during chalcopyrite dissolution at steady state, suggesting that chalcopyrite dissolves stoichiometrically

Dual tasking in Parkinson's disease: cognitive consequences while walking

Published in final edited form as: Neuropsychology. 2017 September; 31(6): 613–623. doi:10.1037/neu0000331.OBJECTIVE: Cognitive deficits are common in Parkinson's disease (PD) and exacerbate the functional limitations imposed by PD's hallmark motor symptoms, including impairments in walking. Though much research has addressed the effect of dual cognitive-locomotor tasks on walking, less is known about their effect on cognition. The purpose of this study was to investigate the relation between gait and executive function, with the hypothesis that dual tasking would exacerbate cognitive vulnerabilities in PD as well as being associated with gait disturbances. METHOD: Nineteen individuals with mild-moderate PD without dementia and 13 age- and education-matched normal control adults (NC) participated. Executive function (set-shifting) and walking were assessed singly and during dual tasking. RESULTS: Dual tasking had a significant effect on cognition (reduced set-shifting) and on walking (speed, stride length) for both PD and NC, and also on stride frequency for PD only. The impact of dual tasking on walking speed and stride frequency was significantly greater for PD than NC. Though the group by condition interaction was not significant, PD had fewer set-shifts than NC on dual task. Further, relative to NC, PD showed significantly greater variability in cognitive performance under dual tasking, whereas variability in motor performance remained unaffected by dual tasking. CONCLUSIONS: Dual tasking had a significantly greater effect in PD than in NC on cognition as well as on walking. The results suggest that assessment and treatment of PD should consider the cognitive as well as the gait components of PD-related deficits under dual-task conditions. (PsycINFO Database Record)