Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 28
Filtrar
1.
Front Nutr ; 10: 1208890, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37426184

RESUMEN

Introduction: The purpose of this study was to examine the influence of nutritional intake on visual perceptual-cognitive performance (VCP) in young healthy adults. Methods: Ninety-eight healthy men (n = 38) and women (n = 60) aged 18-33 years participated and maintained their usual dietary intake throughout the study. VCP was measured using the NeuroTracker™ CORE (NT) 3-Dimensional (3-D) software program (15 training sessions) over a 15-day period. Food logs and extensive lifestyle measures including body composition, cardiovascular health, sleep and exercise patterns, and general readiness to perform were collected. Mean intake from 10 food logs collected over the 15 days were analyzed using Nutribase software. Statistical analyses were performed in SPSS using repeated measures ANOVA including significant covariates when appropriate. Results: Males consumed significantly more calories, macronutrients, cholesterol, choline, and zinc and performed significantly better on VCP than the females. Participants who consumed more than 40% of kcals from carbohydrates (p = 0.038), less than 24% of kcals from protein (p = 0.009), more than 2,000 µg/day lutein/zeaxanthin or more than 1.8 mg/ day vitamin B2 performed significantly better on VCP than those who consumed less than those amounts, respectively. Discussion: VCP is an important dimension of cognitive function and in the present study is influenced by higher carbohydrate, lutein/ zeaxanthin, and vitamin B2 dietary intake while high protein consumption and the female sex negatively impacted VCP.

2.
Int J Mol Sci ; 23(8)2022 Apr 13.
Artículo en Inglés | MEDLINE | ID: mdl-35457112

RESUMEN

The success of an organism is contingent upon its ability to faithfully pass on its genetic material. In the meiosis of many species, the process of chromosome segregation requires that bipolar spindles be formed without the aid of dedicated microtubule organizing centers, such as centrosomes. Here, we describe detailed analyses of acentrosomal spindle assembly and disassembly in time-lapse images, from live meiotic cells of Zea mays. Microtubules organized on the nuclear envelope with a perinuclear ring structure until nuclear envelope breakdown, at which point microtubules began bundling into a bipolar form. However, the process and timing of spindle assembly was highly variable, with frequent assembly errors in both meiosis I and II. Approximately 61% of cells formed incorrect spindle morphologies, with the most prevalent being tripolar spindles. The erroneous spindles were actively rearranged to bipolar through a coalescence of poles before proceeding to anaphase. Spindle disassembly occurred as a two-state process with a slow depolymerization, followed by a quick collapse. The results demonstrate that maize meiosis I and II spindle assembly is remarkably fluid in the early assembly stages, but otherwise proceeds through a predictable series of events.


Asunto(s)
Huso Acromático , Zea mays , Aberraciones Cromosómicas , Segregación Cromosómica , Meiosis , Microtúbulos/metabolismo , Oocitos/metabolismo , Huso Acromático/metabolismo , Zea mays/genética
3.
J Org Chem ; 86(18): 13025-13040, 2021 09 17.
Artículo en Inglés | MEDLINE | ID: mdl-34498466

RESUMEN

N-Quaternized ketene N,O-acetals are typically an unstable, transient class of compounds most commonly observed as reactive intermediates. In this report, we describe a general synthetic approach to a variety of bench-stable N-quaternized ketene N,O-acetals via treatment of pyridine or aniline bases with acetylenic ethers and an appropriate Brønsted or Lewis acid (triflic acid, triflimide, or scandium(III) triflate). The resulting pyridinium and anilinium salts can be used as reagents or synthetic intermediates in multiple reaction types. For example, N-(1-ethoxyvinyl)pyridinium or anilinium salts can thermally release highly reactive O-ethyl ketenium ions for use in acid catalyst-free electrophilic aromatic substitutions. N-(1-Ethoxyvinyl)-2-halopyridinium salts can be employed in peptide couplings as a derivative of Mukaiyama reagents or react with amines in nucleophilic aromatic substitutions under mild conditions. These preliminary reactions illustrate the broad potential of these currently understudied compounds in organic synthesis.


Asunto(s)
Acetales , Cetonas , Técnicas de Química Sintética , Etilenos , Indicadores y Reactivos
4.
Drug Deliv Transl Res ; 11(2): 702-716, 2021 04.
Artículo en Inglés | MEDLINE | ID: mdl-33713316

RESUMEN

Poor integration of orthopaedic devices with the host tissue owing to aseptic loosening and device-associated infections are two of the leading causes of implant failure, which represents a significant problem for both patients and the healthcare system. Novel strategies have focused on silver to combat antimicrobial infections as an alternative to drug therapeutics. In this study, we investigated the impact of increasing the % substitution (12% wt) of silver and strontium in hydroxyapatite (HA) coatings to enhance antimicrobial properties and stimulate osteoblasts, respectively. Additionally, we prepared a binary substituted coating containing both silver and strontium (AgSrA) at 12% wt as a comparison. All coatings were deposited using a novel blasting process, CoBlast, onto biomedical grade titanium (V). Surface physicochemical properties, cytocompatibility and antimicrobial functionality were determined. The anticolonising properties of the coatings were screened using Staphylococcus aureus ATCC 1448, and thereafter, the AgA coating was evaluated using clinically relevant strains. Strontium-doped surfaces demonstrated enhanced osteoblast viability; however, a lower inhibition of biofilm formation was observed compared with the other surfaces. A co-substituted AgSrA surface did not show enhanced osteoblast or anticolonising properties compared with the SrA and AgA surfaces, respectively. Due to its superior anticolonising performance in preliminary studies, AgA was chosen for further studies. The AgA coated surfaces demonstrated good antibacterial activity (eluted and immobilised ion) against methicillin-resistant S. aureus followed by methicillin-sensitive Staphylococcus aureus clinical isolates; however, the AgA surface displayed poor impact against Staphylococcus epidermidis. In conclusion, herein, we demonstrate that HA can be substituted with a range of ions to augment the properties of HA coatings on orthopaedic devices, which offer promising potential to combat orthopaedic device-associated infections and enhance device performance.


Asunto(s)
Staphylococcus aureus Resistente a Meticilina , Ortopedia , Antibacterianos/farmacología , Biopelículas , Materiales Biocompatibles Revestidos , Durapatita , Humanos , Plata/farmacología , Estroncio , Propiedades de Superficie , Titanio
6.
Artículo en Inglés | MEDLINE | ID: mdl-30367271

RESUMEN

Hatchling marine turtles emerge at night from underground nests on oceanic beaches and then use visual cues to crawl from the nest site to the sea ("seafinding"). However, the light wavelengths (λ's) used to accomplish this orientation have not been thoroughly documented, nor do we understand why some λ's are favored over others. We measured nocturnal radiance on the horizon at 20 nm intervals between 340 and 600 nm at two nesting beach sites and then, under laboratory conditions, determined the lowest intensities of those λ's that induced green turtle and loggerhead hatchlings to crawl toward each light source (a low positive "phototaxis threshold"). Both species were similarly sensitive and were attracted to all λ's. Radiance measures at all λ's were greater toward the seaward horizon than toward the landward horizon, providing an important orientation cue regardless of variation in lunar illumination. Previous studies document that both species detect λ's longer than those that are most attractive. We hypothesize that seafinding is a specialized response mediated by cones that are sensitive to the shorter λ's (to minimize the effects of dark noise) but such as rods, are especially sensitive to low levels of nocturnal illumination.


Asunto(s)
Luz , Fototaxis , Navegación Espacial , Tortugas , Animales , Señales (Psicología) , Iluminación , Actividad Motora , Comportamiento de Nidificación , Océanos y Mares , Especificidad de la Especie
7.
J Environ Manage ; 206: 1007-1019, 2018 Jan 15.
Artículo en Inglés | MEDLINE | ID: mdl-30029335

RESUMEN

Riverine landscapes are studied at varying scales, investigating the complex cause-effect pathways between rivers and their physical, chemical and biological attributes. Policy development, management and planning are often formulated and applied at the regional or catchment scale, however the ecological evidence required to inform at this scale is typically collected from the much smaller scale. This research was aimed at determining if patterns in diatom and macroinvertebrate community composition can be attributed to a specific/single land use in a catchment with multiple land uses. The impacts of forest, macadamia, grazing, sugar cane and urban land uses in the Richmond River Catchment of Northern NSW, Australia were investigated at 20 micro-catchment scale sites. A total of 124 diatom species from 43 genera, along with 92 families and three sub-families of macroinvertebrates, were collected and used to calculate the Richmond River Diatom Index (RRDI), AUSRIVAS and SIGNAL2 scores. Statistical analyses showed distinct groupings of land use categories providing evidence of cause-effect pathways attributed to individual land uses. The RRDI, AUSRIVAS and SIGNAL2 scores all showed distinctions between land use categories, though they were clearer in the RRDI. The RRDI indicated that the grazing sites had the poorest health of the land use categories, followed by sugar cane and urban while the macadamia and forest sites were relatively healthy. Signal 2 scores showed similar trends to the RRDI, while the AURIVAS scores did not present clear trends, particularly in the edge habitat of macadamia land use sites. The results indicated that riparian vegetation and instream habitat play an important role in attenuating inputs and that rehabilitation efforts could potentially improve water quality at a micro-catchment scale and subsequently, result in river health improvement at the catchment scale. The research collected at this micro-catchment scale presents new evidence that further informs and affects decisions made at the catchment scale, where policy and planning is developed and implemented.


Asunto(s)
Monitoreo del Ambiente , Calidad del Agua , Australia , Ecosistema , Ríos
8.
Sci Total Environ ; 627: 304-313, 2018 Jun 15.
Artículo en Inglés | MEDLINE | ID: mdl-29426153

RESUMEN

Degradation of freshwater ecosystems and the services they provide is a primary cause of increasing water insecurity, raising the need for integrated solutions to freshwater management. While methods for characterizing the multi-faceted challenges of managing freshwater ecosystems abound, they tend to emphasize either social or ecological dimensions and fall short of being truly integrative. This paper suggests that management for sustainability of freshwater systems needs to consider the linkages between human water uses, freshwater ecosystems and governance. We present a conceptualization of freshwater resources as part of an integrated social-ecological system and propose a set of corresponding indicators to monitor freshwater ecosystem health and to highlight priorities for management. We demonstrate an application of this new framework -the Freshwater Health Index (FHI) - in the Dongjiang River Basin in southern China, where stakeholders are addressing multiple and conflicting freshwater demands. By combining empirical and modeled datasets with surveys to gauge stakeholders' preferences and elicit expert information about governance mechanisms, the FHI helps stakeholders understand the status of freshwater ecosystems in their basin, how ecosystems are being manipulated to enhance or decrease water-related services, and how well the existing water resource management regime is equipped to govern these dynamics over time. This framework helps to operationalize a truly integrated approach to water resource management by recognizing the interplay between governance, stakeholders, freshwater ecosystems and the services they provide.

9.
Sci Rep ; 7(1): 17404, 2017 12 12.
Artículo en Inglés | MEDLINE | ID: mdl-29234065

RESUMEN

Muricidae molluscs are the source of a valuable purple dye that was traded as a luxury item in the Mediterranean region and by the late Byzantine was reserved for royalty and priests. Less well known is the use of muricid opercula in sacred incense and traditional medicines, although they are still used as rare ingredients today. This study provides the first chemical assessment of opercula from Muricidae, based on several traditional preparation procedures. Chemical analysis of opercula smoke revealed aromatic phenols, which act as fragrance stabilisers and produce a "medicinal" odour. Analysis of lipid extracts revealed pharmaceutically active compounds, including brominated indoles, choline esters and adenosine, consistent with their traditional medical applications. Depending on the preparation procedures, toxic pyridine was also detected. ICP-MS analysis of muricid opercula shows the presence of essential macro and microelements, as well as metals, some of which exceed the recommended safe levels for human use. Nevertheless, these findings support the Muricidae as an historically important marine resource, providing Biblical dyes, medicines and perfume. The opercula contains biologically active compounds and produces smoke containing volatile scent compounds, consistent with their identification as the most likely source of onycha, a controversial ingredient in sacred incense.


Asunto(s)
Gastrópodos/química , Fenoles/química , Compuestos Orgánicos Volátiles/química , Animales , Cromatografía de Gases y Espectrometría de Masas , Materia Medica/química , Medicina Tradicional , Estructura Molecular , Odorantes/análisis , Pigmentos Biológicos/química , Polvos/química , Humo/análisis
10.
Cytogenet Genome Res ; 152(3): 132-136, 2017.
Artículo en Inglés | MEDLINE | ID: mdl-28898887

RESUMEN

Angelman syndrome (AS) is characterised by developmental delay, lack of speech, seizures, a characteristic behavioural profile with a happy demeanour, microcephaly, and ataxia. More than two-thirds of cases are due to an approximately 5-Mb interstitial deletion of the imprinted region 15q11.2q13, which is usually de novo. The rest are associated with point mutations in the UBE3A gene, imprinting defects, and paternal uniparental disomy. Small intragenic UBE3A deletions have rarely been described. They are usually maternally inherited, increasing the recurrence risk to 50%, and may be missed by conventional testing (methylation studies and UBE3A gene sequencing). We describe a boy with AS due to an 11.7-kb intragenic deletion. The deletion was identified by array-CGH and was subsequently detected in his affected first cousin and unaffected maternal grandfather, mother, and aunt, confirming the silencing of the paternal allele. The patient had developmental delay, speech impairment, a happy demeanour, microcephaly, and an abnormal EEG, but no seizures by the age of 4 years. Delineation of the underlying genetic mechanism is of utmost importance for reasons of genetic counselling, as well as appropriate management and prognosis. Alternative techniques, such as array-CGH and MLPA, are necessary when conventional testing for AS has failed to identify the underlying genetic mechanism.


Asunto(s)
Síndrome de Angelman/genética , Exones/genética , Herencia Materna/genética , Eliminación de Secuencia , Ubiquitina-Proteína Ligasas/genética , Alelos , Síndrome de Angelman/fisiopatología , Braquidactilia/diagnóstico , Braquidactilia/genética , Braquidactilia/fisiopatología , Preescolar , Aberraciones Cromosómicas , Cromosomas Humanos Par 15/genética , Dedos/anomalías , Humanos , Hipertelorismo/diagnóstico , Hipertelorismo/genética , Hipertelorismo/fisiopatología , Discapacidad Intelectual/genética , Masculino , Fenotipo , Estrabismo/diagnóstico , Estrabismo/genética , Estrabismo/fisiopatología
11.
Sci Total Environ ; 550: 645-657, 2016 Apr 15.
Artículo en Inglés | MEDLINE | ID: mdl-26849329

RESUMEN

Catchment headwaters comprise the majority of all stream length globally, however, carbon (C) dynamics in these systems remains poorly understood. We combined continuous measurements of pCO2 and radon ((222)Rn, a natural groundwater tracer) with discrete sampling for particulate organic, dissolved organic and inorganic carbon (POC, DOC, and DIC) to assess the short-term carbon dynamics of a pristine subtropical headwater stream in Australia, over contrasting hydrologic regimes of drought, flash-flooding and recovery. Observations over 23days revealed a shift from carbon losses dominated by CO2 outgassing under conditions of low flow (66.4±0.4% of carbon export) to downstream exports of carbon during the flood (87.8±9.7% of carbon export). DOC was the dominant form of downstream exports throughout the study (DOC:DIC:POC=0.82:0.05:0.13). The broadest diel variability among variables occurred during the drought phase, with diel variability up to 662µatmd(-1) (or 27µM[CO2*]d(-1)), 17µMd(-1) and 268Bqm(-3)d(-1) for pCO2, dissolved oxygen and (222)Rn, respectively. Diel dynamics indicated multiple interrelated drivers of stream water chemistry including groundwater seepage and in-stream metabolism. The catchment exported terrestrial carbon throughout the field campaign, with a mean net stream flux of 4.7±7.8mmolCm(-2)(catchment area)d(-1) which is equivalent to 1.4±2.3% of the estimated local terrestrial net primary production. Our observations highlight the importance of accounting for hydrological extremes when assessing the carbon budgets and ecosystem metabolism of headwater streams, and provide a first estimate of aquatic carbon exports from a pristine Australian subtropical rainforest.

12.
PLoS One ; 10(6): e0130689, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-26098897

RESUMEN

Fishing and resource use continues to be an essential aspect of life for many Aboriginal communities throughout Australia. It is important for dietary sustenance, and also retains deep social, cultural and economic significance, playing a fundamental role in maintaining group cohesion, transferring cultural knowledge and affirming Indigenous identities. We surveyed approximately 20% of the Gumbaynggirr Aboriginal community of Nambucca Heads, New South Wales, Australia. This paper explores Gumbaynggirr Connection to Country and engagement in cultural practice. It quantifies fishing efforts and consumption of seafood within the community. We found 95% of the sample group fish, with the highest rate of fishing being 2-3 times a week (27%). Furthermore, 98% of participants eat seafood weekly or more frequently, up to more than once a day (24%). Survey results revealed that Myxus elongatus (Sand mullet) and naturally recruited Saccostrea glomerata (Sydney rock oysters) continue to be important wild resources to the Gumbaynggirr community. Trace metals were measured in M. elongatus and S. glomerata samples collected by community participants in this study. Maximum levels prescribed in the Australia New Zealand Food Standards Code were not exceeded in the edible tissue for either species, however both species exceeded the generally expected levels for zinc and copper and S. glomerata samples exceeded the generally expected level for selenium. Furthermore the average dietary exposure to trace metals from consuming seafood was calculated for the surveyed population. Trace metal intake was then compared to the provisional tolerable weekly intake prescribed by the Joint Expert Committee on Food Additives. This process revealed that copper and selenium intake were both within the provisional tolerable weekly intake, while there is no guideline for zinc. Furthermore, participants relying heavily on wild resources from the Nambucca River estuary may exceed the provisional tolerable weekly intake for cadmium. This suggests the need for further investigation of this issue to minimize any possible health risk.


Asunto(s)
Contaminación de Alimentos , Metales Pesados/análisis , Alimentos Marinos/efectos adversos , Contaminación Química del Agua , Adolescente , Adulto , Anciano , Animales , Femenino , Humanos , Masculino , Persona de Mediana Edad , Nueva Gales del Sur , Ostreidae/química , Smegmamorpha/metabolismo
14.
Neurology ; 81(8): 736-44, 2013 Aug 20.
Artículo en Inglés | MEDLINE | ID: mdl-23884042

RESUMEN

OBJECTIVE: To investigate default mode network (DMN) functional connectivity MRI (fcMRI) in a large cross-sectional cohort of subjects from families harboring pathogenic presenilin-1 (PSEN1), presenilin-2 (PSEN2), and amyloid precursor protein (APP) mutations participating in the Dominantly Inherited Alzheimer Network. METHODS: Eighty-three mutation carriers and 37 asymptomatic noncarriers from the same families underwent fMRI during resting state at 8 centers in the United States, United Kingdom, and Australia. Using group-independent component analysis, fcMRI was compared using mutation status and Clinical Dementia Rating to stratify groups, and related to each participant's estimated years from expected symptom onset (eYO). RESULTS: We observed significantly decreased DMN fcMRI in mutation carriers with increasing Clinical Dementia Rating, most evident in the precuneus/posterior cingulate and parietal cortices (p < 0.001). Comparison of asymptomatic mutation carriers with noncarriers demonstrated decreased fcMRI in the precuneus/posterior cingulate (p = 0.014) and right parietal cortex (p = 0.0016). We observed a significant interaction between mutation carrier status and eYO, with decreases in DMN fcMRI observed as mutation carriers approached and surpassed their eYO. CONCLUSION: Functional disruption of the DMN occurs early in the course of autosomal dominant Alzheimer disease, beginning before clinically evident symptoms, and worsening with increased impairment. These findings suggest that DMN fcMRI may prove useful as a biomarker across a wide spectrum of disease, and support the feasibility of DMN fcMRI as a secondary endpoint in upcoming multicenter clinical trials in Alzheimer disease.


Asunto(s)
Enfermedad de Alzheimer/fisiopatología , Precursor de Proteína beta-Amiloide/genética , Encéfalo/fisiopatología , Conectoma , Red Nerviosa/fisiopatología , Presenilina-1/genética , Presenilina-2/genética , Adulto , Enfermedad de Alzheimer/epidemiología , Femenino , Genes Dominantes/genética , Predisposición Genética a la Enfermedad/epidemiología , Predisposición Genética a la Enfermedad/genética , Heterocigoto , Humanos , Internacionalidad , Masculino , Prevalencia
15.
Hum Brain Mapp ; 34(7): 1568-78, 2013 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-22344847

RESUMEN

The reduction of neural activity in response to repeated stimuli, repetition suppression, is one of the most robust experience-related cortical dynamics known to cognitive neuroscience. Functional magnetic resonance imaging (fMRI) studies during episodic memory encoding have demonstrated repetition suppression in the hippocampus and this reduction has been linked to successful memory formation. An emerging body of functional imaging evidence suggests that the posteromedial cortex, in addition to the medial temporal lobes, may have a pivotal role in successful episodic memory. This area typically deactivates during initial memory encoding, but its functional changes in response to repetitive encoding remain poorly specified. Here, we investigate the repetition-related changes in the posteromedial cortex as well as the hippocampus while the participants underwent an fMRI experiment involving repetitive encoding of face-name pairs. During the first encoding trial of face-name pairs, significant activation in the hippocampus was observed. The second and third encoding trials demonstrated a repetition suppression effect in the hippocampus, indicated by a stepwise decrease of activation. In contrast, the posteromedial cortex demonstrated significant deactivation during the initial encoding trial of face-name pairs. The second and third encoding trials demonstrated a stepwise decrease of deactivation, repetition enhancement, with activity at or above baseline levels in the final encoding trial. These findings demonstrate that hippocampus repetition suppression as well as posteromedial repetition enhancement is related to successful encoding processes and are discussed in relation to the default mode hypothesis as well as potential implications for understanding late-life amnestic disorders.


Asunto(s)
Corteza Cerebral/fisiología , Hipocampo/fisiología , Inhibición Psicológica , Memoria/fisiología , Adulto , Aprendizaje por Asociación , Mapeo Encefálico , Corteza Cerebral/irrigación sanguínea , Cara , Femenino , Hipocampo/irrigación sanguínea , Humanos , Procesamiento de Imagen Asistido por Computador , Imagen por Resonancia Magnética , Masculino , Nombres , Pruebas Neuropsicológicas , Oxígeno/sangre , Estimulación Luminosa , Adulto Joven
16.
Neuropsychologia ; 50(12): 2880-2886, 2012 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-22940426

RESUMEN

Accumulating evidence suggests that subjective cognitive complaints (SCC) may indicate subtle cognitive decline characteristic of individuals with preclinical Alzheimer's disease (AD). In this study, we sought to build upon previous studies by associating SCC and amyloid-ß deposition using positron emission tomography with Pittsburgh Compound B (PiB-PET) in cognitively normal older individuals. One-hundred thirty one subjects (mean age 73.5±6) were administered three subjective cognitive questionnaires and a brief neuropsychological battery. A relationship between a subjective memory complaints composite score and cortical PiB binding was found to be significant, even after controlling for depressive symptoms. By contrast, there were no significant relationships between objective cognitive measures of memory and executive functions and cortical PiB binding. Our study suggests that SCC may be an early indicator of AD pathology detectable prior to significant objective impairment.


Asunto(s)
Envejecimiento , Enfermedad de Alzheimer , Péptidos beta-Amiloides/metabolismo , Encéfalo/metabolismo , Anciano , Anciano de 80 o más Años , Envejecimiento/metabolismo , Envejecimiento/psicología , Enfermedad de Alzheimer/metabolismo , Enfermedad de Alzheimer/psicología , Compuestos de Anilina , Femenino , Humanos , Masculino , Pruebas Neuropsicológicas , Tomografía de Emisión de Positrones , Síntomas Prodrómicos , Radiofármacos , Tiazoles
17.
J Nurs Care Qual ; 27(2): 132-8, 2012.
Artículo en Inglés | MEDLINE | ID: mdl-21915064

RESUMEN

The purpose of this project was to identify and characterize patient safety issues across advanced practice nursing (APN) care settings including ambulatory care visits. A total of 162 registered nurses enrolled in an APN education program completed an online survey. Respondents reported patient safety issues related to diagnosis or management and treatment in almost half of 489 encounters. The most common issues were clinician communication problems with patients, which occurred during 42.4% of encounters. Adoption of information technology may be a pathway for improving patient safety issues in APN practice settings.


Asunto(s)
Enfermería de Práctica Avanzada/normas , Educación de Postgrado en Enfermería , Seguridad del Paciente/normas , Calidad de la Atención de Salud , Estudiantes de Enfermería , Adolescente , Adulto , Enfermería de Práctica Avanzada/educación , Anciano , Anciano de 80 o más Años , Atención Ambulatoria/normas , Niño , Preescolar , Enfermería de Urgencia/normas , Femenino , Humanos , Lactante , Recién Nacido , Masculino , Persona de Mediana Edad , Ciudad de Nueva York , Investigación en Evaluación de Enfermería , Personal de Enfermería en Hospital/normas , Enfermería Perioperatoria/normas , Servicios de Enfermería Escolar/normas , Adulto Joven
18.
Neurobiol Aging ; 33(7): 1237-52, 2012 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-21334099

RESUMEN

The neural networks supporting encoding of new information are thought to decline with age, although mnemonic techniques such as repetition may enhance performance in older individuals. Accumulation of amyloid-ß, one hallmark pathology of Alzheimer's disease (AD), may contribute to functional alterations in memory networks measured with functional magnetic resonance imaging (fMRI) prior to onset of cognitive impairment. We investigated the effects of age and amyloid burden on fMRI activity in the default network and hippocampus during repetitive encoding. Older individuals, particularly those with high amyloid burden, demonstrated decreased task-induced deactivation in the posteromedial cortices during initial stimulus presentation and failed to modulate fMRI activity in response to repeated trials, whereas young subjects demonstrated a stepwise decrease in deactivation with repetition. The hippocampus demonstrated similar patterns across the groups, showing task-induced activity that decreased in response to repetition. These findings demonstrate that age and amyloid have dissociable functional effects on specific nodes within a distributed memory network, and suggest that functional brain changes may begin far in advance of symptomatic Alzheimer's disease.


Asunto(s)
Envejecimiento/patología , Habituación Psicofisiológica , Red Nerviosa/patología , Placa Amiloide/patología , Desempeño Psicomotor , Adulto , Anciano , Anciano de 80 o más Años , Envejecimiento/fisiología , Femenino , Habituación Psicofisiológica/fisiología , Humanos , Estudios Longitudinales , Imagen por Resonancia Magnética/métodos , Masculino , Persona de Mediana Edad , Red Nerviosa/fisiología , Estimulación Luminosa/métodos , Desempeño Psicomotor/fisiología , Tiempo de Reacción/fisiología , Adulto Joven
19.
J Neurosci ; 31(48): 17680-8, 2011 Nov 30.
Artículo en Inglés | MEDLINE | ID: mdl-22131428

RESUMEN

Alzheimer's disease (AD) is associated with functional and structural alterations in a distributed network of brain regions supporting memory and other cognitive domains. Functional abnormalities are present in mild cognitive impairment (MCI) with evidence of early hyperactivity in medial temporal lobe regions, followed by failure of hippocampal activation as dementia develops. Atrophy in a consistent set of cortical regions, the "cortical signature of AD," has been reported at the stage of dementia, MCI, and even in clinically normal (CN) older individuals predicted to develop AD. Despite multiple lines of evidence for each of these findings, the relationship between this structural marker of AD-related neurodegeneration and this functional marker of the integrity of the episodic memory system has not yet been elucidated. We investigated this relationship in 34 nondemented older humans (CN, N = 18; MCI, N = 16). Consistent with previous studies, we found evidence of hippocampal hyperactivation in MCI compared with CN. Additionally, within this MCI group, increased hippocampal activation correlated with cortical thinning in AD-signature regions. Even within the CN group, increased hippocampal activity was negatively correlated with cortical thinning in a subset of regions, including the superior parietal lobule (r = -0.66; p < 0.01). These findings, across a continuum of nondemented and mildly impaired older adults, support the hypothesis that paradoxically increased hippocampal activity may be an early indicator of AD-related neurodegeneration in a distributed network.


Asunto(s)
Enfermedad de Alzheimer/fisiopatología , Corteza Cerebral/patología , Disfunción Cognitiva/fisiopatología , Hipocampo/fisiopatología , Anciano , Anciano de 80 o más Años , Enfermedad de Alzheimer/patología , Corteza Cerebral/fisiopatología , Disfunción Cognitiva/patología , Femenino , Hipocampo/patología , Humanos , Imagen por Resonancia Magnética , Masculino , Memoria Episódica , Persona de Mediana Edad , Neuronas/patología , Neuronas/fisiología , Pruebas Neuropsicológicas
20.
Brain ; 134(Pt 6): 1635-46, 2011 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-21490054

RESUMEN

Disruption of functional connectivity between brain regions may represent an early functional consequence of ß-amyloid pathology prior to clinical Alzheimer's disease. We aimed to investigate if non-demented older individuals with increased amyloid burden demonstrate disruptions of functional whole-brain connectivity in cortical hubs (brain regions typically highly connected to multiple other brain areas) and if these disruptions are associated with neuronal dysfunction as measured with fluorodeoxyglucose-positron emission tomography. In healthy subjects without cognitive symptoms and patients with mild cognitive impairment, we used positron emission tomography to assess amyloid burden and cerebral glucose metabolism, structural magnetic resonance imaging to quantify atrophy and novel resting state functional magnetic resonance imaging processing methods to calculate whole-brain connectivity. Significant disruptions of whole-brain connectivity were found in amyloid-positive patients with mild cognitive impairment in typical cortical hubs (posterior cingulate cortex/precuneus), strongly overlapping with regional hypometabolism. Subtle connectivity disruptions and hypometabolism were already present in amyloid-positive asymptomatic subjects. Voxel-based morphometry measures indicate that these findings were not solely a consequence of regional atrophy. Whole-brain connectivity values and metabolism showed a positive correlation with each other and a negative correlation with amyloid burden. These results indicate that disruption of functional connectivity and hypometabolism may represent early functional consequences of emerging molecular Alzheimer's disease pathology, evolving prior to clinical onset of dementia. The spatial overlap between hypometabolism and disruption of connectivity in cortical hubs points to a particular susceptibility of these regions to early Alzheimer's-type neurodegeneration and may reflect a link between synaptic dysfunction and functional disconnection.


Asunto(s)
Enfermedad de Alzheimer/complicaciones , Amiloide/metabolismo , Mapeo Encefálico , Corteza Cerebral/metabolismo , Corteza Cerebral/patología , Trastornos del Conocimiento/etiología , Anciano , Anciano de 80 o más Años , Enfermedad de Alzheimer/diagnóstico por imagen , Enfermedad de Alzheimer/patología , Compuestos de Anilina , Benzotiazoles , Corteza Cerebral/irrigación sanguínea , Corteza Cerebral/diagnóstico por imagen , Trastornos del Conocimiento/diagnóstico por imagen , Trastornos del Conocimiento/patología , Femenino , Fluorodesoxiglucosa F18 , Humanos , Procesamiento de Imagen Asistido por Computador , Imagen por Resonancia Magnética/métodos , Masculino , Persona de Mediana Edad , Oxígeno/sangre , Tomografía de Emisión de Positrones/métodos , Estadística como Asunto , Tiazoles
SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA
...