The Cognitive-Functional Composite is sensitive to clinical progression in early dementia: Longitudinal findings from the Catch-Cog study cohort.

INTRODUCTION: In an attempt to capture clinically meaningful cognitive decline in early dementia, we developed the Cognitive-Functional Composite (CFC). We investigated the CFC's sensitivity to decline in comparison to traditional clinical endpoints. METHODS: This longitudinal construct validation study included 148 participants with subjective cognitive decline, mild cognitive impairment, or mild dementia. The CFC and traditional tests were administered at baseline, 3, 6, and 12 months. Sensitivity to change was investigated using linear mixed models and r 2 effect sizes. RESULTS: CFC scores declined over time (ß = -.16, P < .001), with steepest decline observed in mild Alzheimer's dementia (ß = -.25, P < .001). The CFC showed medium-to-large effect sizes at succeeding follow-up points (r 2 = .08-.42), exhibiting greater change than the Clinical Dementia Rating scale (r 2 = .02-.12). Moreover, change on the CFC was significantly associated with informant reports of cognitive decline (ß = .38, P < .001). DISCUSSION: By showing sensitivity to decline, the CFC could enhance the monitoring of disease progression in dementia research and clinical practice.

Active fiber composites for the generation of Lamb waves.

Active fiber composites (AFC) are thin and conformable transducer elements with orthotropic material properties, since they are made of one layer of piezoelectric ceramic fibers. They are suitable for applications in structural health monitoring systems (SHM) with acoustic non-destructive testing methods (NDT). In the presented work the transfer behavior of an AFC as an emitter of transient elastic waves in plate-like structures is investigated. The wave field emitted by an AFC surface bonded on an isotropic plate was simulated with the finite-difference method. The model includes the piezoelectric element and the plate and allows the simulation of the elastic wave propagation. For comparison with the model experiments using a laser interferometer for non-contact measurements of particle velocities at different points around the AFC on the surface of the plate were performed. Transfer functions defined as the ratio of the electric voltage excitation signal and the resulting surface velocity at a specific point are separately determined for the two fundamental Lamb wave modes. In order to take the orthotropic behavior of the AFC into account the transfer functions are determined for several points around the AFC. Results show that the AFC is capable to excite the fundamental symmetric and antisymmetric Lamb wave mode. The antisymmetric mode is mainly radiated in the direction of the piezoelectric fibers, while the symmetric mode is spread over a larger angle. The amplitudes of the emitted waves depend on the frequency of the excitation as well as on the geometric dimensions of the transducer.