Does the Montreal Cognitive Assessment (MoCA) identify cognitive impairment profiles in Parkinson's disease? An exploratory study.

An important proportion of patients with Parkinson's Disease (PD) present signs of cognitive impairment, although this is heterogeneous. In an attempt to classify this, the dual syndrome hypothesis distinguishes between two profiles: one defined by attentional and executive problems with damage in anterior cerebral regions, and another with mnesic and visuospatial alterations, with damage in posterior cerebral regions. The Montreal Cognitive Assessment (MoCA) is one of the recommended screening tools, and one of the most used, to assess cognitive impairment in PD. However, its ability to specifically identify these two profiles of cognitive impairment has not been studied. The aim of this study was, therefore, to analyze the capacity of the MoCA to detect cognitive impairment, and also to identify anterior and posterior profiles defined by the dual syndrome hypothesis. For this purpose, 59 patients with idiopathic PD were studied with the MoCA and a neuropsychological battery of tests covering all cognitive domains. Results of logistic regression analysis with ROC (Receiver Operating Characteristic) curves showed that MoCA detected cognitive impairment and identified patients with a profile of anterior/attentional and executive deficit, with acceptable sensibility and specificity. However, it did not identify patients with a posterior/mnesic-visuospatial impairment. We discuss the reasons for the lack of sensitivity of MoCA in this profile, and other possible implications of these results with regards the usefulness of this tool to assess cognitive impairment in PD.

Social Cognition and Cognitive Decline in Patients with Parkinson's Disease.

Social cognition (SC) comprises an array of cognitive and affective abilities such as social perception, theory of mind, empathy, and social behavior. Previous studies have suggested the existence of deficits in several SC abilities in Parkinson disease (PD), although not unanimously. OBJECTIVE: The aim of this study is to assess the SC construct and to explore its relationship with cognitive state in PD patients. METHOD: We compare 19 PD patients with cognitive decline, 27 cognitively preserved PD patients, and 29 healthy control (HC) individuals in social perception (static and dynamic emotional facial recognition), theory of mind, empathy, and social behavior tasks. We also assess processing speed, executive functions, memory, language, and visuospatial ability. RESULTS: PD patients with cognitive decline perform worse than the other groups in both facial expression recognition tasks and theory of mind. Cognitively preserved PD patients only score worse than HCs in the static facial expression recognition task. We find several significant correlations between each of the SC deficits and diverse cognitive processes. CONCLUSIONS: The results indicate that some components of SC are impaired in PD patients. These problems seem to be related to a global cognitive decline rather than to specific deficits. Considering the importance of these abilities for social interaction, we suggest that SC be included in the assessment protocols in PD.

From research to rapid response: mass COVID-19 testing by volunteers at the Centre for Genomic Regulation.

The COVID-19 pandemic has posed and is continuously posing enormous societal and health challenges worldwide. The research community has mobilized to develop novel projects to find a cure or a vaccine, as well as to contribute to mass testing, which has been a critical measure to contain the infection in several countries. Through this article, we share our experiences and learnings as a group of volunteers at the Centre for Genomic Regulation (CRG) in Barcelona, Spain. As members of the ORFEU project, an initiative by the Government of Catalonia to achieve mass testing of people at risk and contain the epidemic in Spain, we share our motivations, challenges and the key lessons learnt, which we feel will help better prepare the global society to address similar situations in the future.

Differences in cognitive performance in nondemented Parkinson's disease: A latent profile analysis of cognitive subtypes.

INTRODUCTION: Cognitive impairments are common in Parkinson's disease (PD) patients without dementia. These deficits are quite heterogeneous, which makes it difficult to recognize and treat them. For this reason, many authors have attempted to classify patients into more homogeneous groups with diverse results. The present study was designed to analyze the cognitive heterogeneity in PD patients using a novel data-driven approach, latent profile analysis (LPA), to classify patients according to cognitive characteristics. This methodology, which has been used in previous studies focused on motor and psychiatric symptomatology, seems to be better than traditional cluster analysis for the establishment and comparison between different subgroups because it does not require prior decision making about some theoretical or methodological aspects. METHOD: LPA was applied to 71 PD patients evaluated with a broad neuropsychological battery including different memory and executive function tests. The clusters obtained from the analysis were described by making comparisons with a control group of 51 healthy subjects matched in age, sex, and educational level. RESULTS: The LPA resulted in a four-cluster solution, which could be described as: (a) executive dysfunction (32.4%), (b) memory and executive dysfunction (28.2%), (c) memory dysfunction (23.9%), and (d) noncognitive dysfunction (15.5%). These four PD cluster differ in age and Mini-Mental State Examination (MMSE) score. However, there were no differences between clusters in disease duration, clinical impression of severity index, depression, and cognitive reserve. CONCLUSIONS: LPA is a very interesting method for the establishment of more homogeneous groups of PD patients based on their neuropsychological characteristics. Moreover, the distinction between different cognitive profiles will allow us to design interventions better adapted to each patient.

Phosphatidylcholine liposomes as carriers to improve topical ascorbic acid treatment of skin disorders.

Liposomes have been intensively investigated as carriers for different applications in dermatology and cosmetics. Ascorbic acid has potent antioxidant and anti-inflammatory properties preventing photodamage of keratinocytes; however, due to its instability and low skin penetration, an appropriate carrier is mandatory to obtain desirable efficacy. The present work investigates the ability of a specific ascorbate phosphatidylcholine (PC) liposome to overcome the barrier of the stratum corneum and deliver the active agent into the dermis to prevent photodamage. Abdominal skin from ten patients was used. Penetration of PC liposomes was tested ex vivo in whole skin, epidermis, and dermis by means of fluorescein and sodium ascorbate. Histology and Franz diffusion cells were used to monitor the percutaneous absorption. Ultraviolet (UV)-high performance liquid chromatography was used to analyze diffusion of sodium ascorbate through the different skin layers, while spectrofluorimetry and fluorescent microscopy were used for fluorescein monitoring. UVA/UVB irradiation of whole skin was applied to analyze the antioxidant capacity by Trolox assay and anti-inflammatory effects by tumor necrosis factor alpha and interleukin 1 beta enzyme-linked immunoassay. PC liposomal formulation improved skin penetration of fluorescein and ascorbate. Fluorescein PC liposomes showed better diffusion through epidermis than dermis while ascorbate liposomes showed better diffusion through the dermis than the epidermis. Ascorbate PC liposomes showed preventive antioxidant and anti-inflammatory properties on whole human skin irradiated with UVA/UVB. In summary, ascorbate PC liposomes penetrate through the epidermis and allow nonstable hydrophilic active ingredients reach epidermis and dermis preventing skin photodamage.

Effectiveness of pre-peritoneal continuous wound infusion with lidocaine for pain control following ovariohysterectomy in dogs.

This study compared the post-operative analgesic efficacy of continuous lidocaine administration with that of intramuscular (IM) methadone in dogs undergoing ovariohysterectomy. Thirty-eight dogs were divided randomly into two groups. Following surgery, the lidocaine group (L) received a continuous lidocaine infusion (2 mg/kg/h) through a wound catheter inserted in the pre-peritoneal space; the control group (C) received methadone (0.2 mg/kg IM). A dynamic and interactive visual analogue scale (DIVAS), the Scale-Form Glasgow Composite Measure Scale (CMPS-SF), mechanical wound thresholds, heart rate, respiratory rate and blood pressure were assessed pre-operatively and 2, 4, 6, 18, and 24 h after surgery. The presence of the wound catheter prevented the evaluator from remaining blinded to group allocations. Plasma lidocaine and cortisol levels were measured 2, 6, 18, and 24 h after surgery. There were no intergroup differences in any pain assessment scale scores at any time point. Stable intravenous lidocaine levels were observed. Four animals in the control group but none in the lidocaine group required rescue analgesia. There were no differences in complication rates between groups. Continuous locoregional lidocaine delivered via a wound catheter between the parietal peritoneum and abdominal muscle offers effective analgesia in dogs during ovariohysterectomy and appears to be a promising analgesic option in veterinary surgery.

A holistic analysis of relationships between executive function and memory in Parkinson's disease.

Apart from motor symptoms, Parkinson's disease is characterized by executive and memory problems that have been observed from early stages of the disease. This study explores the possible relationships between these cognitive impairments in a group of 23 individuals with Parkinson's disease (PD) in comparison to a group of 18 healthy individuals. Compared with young individuals, normal aging is characterized by an increased association between executive function and episodic memory, especially with verbal material. We hypothesize that this association between verbal episodic memory and executive function may be weaker in PD as a consequence of the decline in these two cognitive abilities. To test this hypothesis, three categories of standardized tests were administered to both groups: (a) tests for executive function, (b) tests for visuospatial episodic memory, and (c) tests for verbal episodic memory. Performance outputs were analyzed using factor analysis, canonical regression, and structural equation modeling to obtain a holistic perspective of the linkage of these processes and to compare the differences between groups. In general, PD patients performed worse than controls in both executive function and episodic memory (with verbal and visuospatial material). Moreover, we found that relationships between executive function and visuospatial memory scores were high and quite similar in both groups. However, the relationship between verbal episodic memory and executive function was weaker in PD than in healthy individuals. These results suggest that a different brain mechanism could explain executive and verbal memory impairments in PD.

Evidence for linguistic deficit in nonlexical processing in reading. A study of a Spanish-speaking patient.

Previous studies have shown that in the so-called opaque languages (those in which spelling does not correspond to pronunciation), there are relatively independent routes for lexical and nonlexical processing, that is, for words and nonwords, both in spoken and in written language. On the other hand, in the so-called transparent languages (those in which pronunciation corresponds to written forms), empirical evidence is scarcer. In this study of a neurological patient (parieto-temporal lesion), speaker of a transparent language (Spanish) showing a specific deficit in nonlexical reading processing, linguistic analysis for words was relatively preserved. This finding suggests the use of various routes in the processing of transparent languages.

Evidence for Linguistic Deficit in Nonlexical Processing in Reading. A Study of a Spanish-Speaking Patient

Previous studies have shown that in the so-called opaque languages (those in which spelling does not correspond to pronunciation), there are relatively independent routes for lexical and non lexical processing, that is, for words and non words, both in spoken and in written language. On the other hand, in the so-called transparent languages (those in which pronunciation corresponds to written forms), empirical evidence is scarcer. In this study of a neurological patient (parieto-temporal lesion), speaker of a transparent language (Spanish) showing a specific deficit in non lexical reading processing, linguistic analysis for words was relatively preserved. This finding suggests the use of various routes in the processing of transparent languages (AU)

Estudios previos han mostrado que los llamados lenguajes opacos (en los que la ortografía no se corresponde con la pronunciación), hay rutas relativamente independientes para el procesamiento léxico y no léxico, es decir para palabras y no palabras, tanto en lenguaje hablado como escrito. Por otro lado, en los llamados lenguajes transparentes (en los que la pronunciación se corresponde con las formas escritas), hay menos evidencia empírica. En este estudio de un paciente neurológico (lesión parieto-temporal), que habla un lenguaje transparente (español), mostrando un déficit específico en el procesamiento de lectura no léxica, el análisis lingüística para las palabras estaba relativamente preservada. Este descubrimiento sugiere el uso de varias rutas en el procesamiento de los lenguajes transparentes (AU)

Use of SDS micelles for improving sensitivity, resolution, and speed in the analysis of beta-lactam antibiotics in environmental waters by SPE and CE.

This study dealt with the potential of MEKC with LIF detection involving derivatization with sulfoindocyanine succinimidyl ester (Cy5) for the separation and determination of beta-lactam antibiotics (ampicillin, amoxicillin, cephradine, and cephalexin) in environmental water samples. Water samples of 50 mL were enriched by SPE by passage through a weak base-cation Amberlite(R) IRA-93 exchange column. SDS micelles play important roles in the whole analytical process by improving the yield (sensitivity) and the kinetics of the labeling reaction, the elution of the retained antibiotics from the SPE preconcentration system and the electrophoretic resolution of their Cy5-derivatives. The optimum procedure includes a derivatization step of the antibiotics at 25 degrees C for 10 min and direct injection for MEKC analysis, which is conducted within about 15 min using 15 mM SDS in the running buffer (35 mM sodium borate at pH 9.3). LODs from 30 to 45 ng/L and RSDs (within-day precision) from 3.5 to 5.9% were obtained for the antibiotics in water samples with average recoveries ranging from 96.4 to 99.4%. These results indicate that the method proposed is a straightforward and sensitive tool for the determination of these antibiotics in environmental water samples providing similar quantitative results to those using more expensive equipment like LC-electrospray MS/MS.

Trace analysis of aminoglycoside antibiotics in bovine milk by MEKC with LIF detection.

This work describes a straightforward and sensitive method for the multi-residue analysis of aminoglycoside antibiotics (kanamycin B, amikacin, neomycin B and paromomycin I) in bovine milk samples. The method involves the pre-capillary derivatization of antibiotics with sulfoindocyanine succinimidyl ester (Cy5) and their separation and determination by MEKC with LIF detection. The optimum procedure includes a derivatization step of the antibiotics at 25 degrees C for 30 min and direct injection for MEKC analysis, which is performed in about 20 min by using borate buffer (35 mM; pH 9.2) with 55 mM SDS as an anionic surfactant and 20% ACN as the organic modifier. Under these conditions, dynamic ranges of 10-500 microg/L and RSDs (within-day precision) from 3.8 to 5.3% were obtained. These results indicate that the proposed MEKC-LIF method is useful as a selective and sensitive tool for the determination of these antibiotics and surpasses other reported electrophoretic alternatives. Finally, the method was successfully applied to bovine milk samples after a simple solid-phase extraction clean-up and preconcentration procedure. The aminoglycosides were readily detected at 0.5-1.5 microg/kg levels with average recoveries ranging from 89.4 to 93.3%.

Determination of amikacin in body fluid by high-performance liquid-chromatography with chemiluminescence detection.

A simple and sensitive method was developed for the quantification of amikacin in human plasma and urine samples. The method involves centrifugation of body fluid plasma after dilution with an ethanol/sodium carbonate mixture, and then an aliquot of the supernatant is directly injected into the chromatograph. After separation on a reversed-phase C18 column (runtime 20 min), aminoglycoside is detected on the basis of its complex formation reaction with Cu(II), the catalyst of the luminol/hydrogen peroxide chemiluminescence system. Using a volume of 500 microl biological sample, linearity is established over the concentration range 0.15-2.0 microg/ml and the limit of detection (LOD) is ca. 50 microg/l in plasma or urine. The intra-day and inter-day precision (measured by relative standard deviation, R.S.D.%) are always less than 9%, and relative recoveries are found to be over 92%.

Rapid and sensitive determination of aminoglycoside antibiotics in water samples using a strong cation-exchange chromatography non-derivatisation method with chemiluminescence detection.

A simple and sensitive chemiluminescence (CL) detection approach was developed for the direct analysis of aminoglycoside antibiotics in water samples following strong cation-exchange chromatographic (SCX-HPLC) separation. This detection system, which eliminates the need for sample derivatisation, is based on the inhibitory effect of aminoglycosides on the CL reaction between luminol and hydrogen peroxide catalysed by copper(II). As the operational and chemical variables that affect the CL signal were optimised, ionic strength and the Triton X-100 micelles turned out to be the keys to obtain maximum CL efficiency. Aminoglycosides were successfully separated in 10 min on a SCX column using a mobile phase consisting of an aqueous solution containing 5.0 x 10(-3)mol/l sodium acetate and 0.65 mol/l sodium chloride at pH 6.1. Sample volumes of 50 ml were preconcentrated by passage through a weakly acidic IRC-50 exchange column. Limits of detection from 0.7 to 10 microg/l and relative standard deviations from 2.7 to 5.4% were thus obtained. The proposed method surpasses other chromatographic alternatives in terms of the limit of detection, sample requirements for analysis and cost.

Improving the quantification of highly overlapping chromatographic peaks by using product unit neural networks modeled by an evolutionary algorithm.

This work investigates the ability of multiplicative (on the basis of product units) and sigmoidal neural models built by an evolutionary algorithm to quantify highly overlapping chromatographic peaks. To test this approach, two N-methylcarbamate pesticides, carbofuran and propoxur, were quantified using a classic peroxyoxalate chemiluminescence reaction as a detection system for chromatographic analysis. The four-parameter Weibull curve associated with the profile of the chromatographic peak estimated by the Levenberg-Marquardt method was used as input data for both models. Straightforward network topologies (one output) allowed the analytes to be quantified with great accuracy and precision. Product unit neural networks provided better information ability, smaller network architectures, and more robust models (smaller standard deviation). The reduced dimensions of the selected models enabled the derivation of simple quantification equations to transform the input variables into the output variable. These equations can be more easily interpreted from a chemical point of view than those provided by sigmoidal neural networks, and the effect of both analytes on the characteristics of chromatographic bands, namely profile, dispersion, peak height, and residence time, can be readily established.

Neuropsicología de la percepción y la expresión facial de emociones: Estudios con niños y primates no humanos / Neuropsychology of perception and facial expression of emotions: Studies with children and non human primates

Este estudio revisa diferentes investigaciones sobre la neuropsicología de la percepción y la expresión facial de emociones en niños y en primates no humanos. Se parte de las teorías neodarwinianas sobre el origen de la emoción, que presuponen la existencia de circuitos cerebrales específicos para la expresión y comprensión del afecto y consideran que estos comportamientos son innatos y filogenéticamente determinados . A partir de la literatura examinada, las conclusiones principales que pueden extraerse son las siguientes: (1) A lo largo del primer año de vida los niños manifiestan capacidades básicas para reconocer emociones. Entre otros correlatos neurobiológicos, se ha observado que este proceso se corresponde con una mayor actividad del hemisferio cerebral derecho, frente al izquierdo. (2) En primates no humanos, y desde distintas aproximaciones experimentales, se ha encontrado un patrón similar al de nuestra especie en tareas de reconocimiento y discriminación de expresiones faciales de emociones.(3) Los lactantes expresan emociones con acciones musculares similares a las descritas en adultos. La mayoría de los autores señalan que el hemisferio cerebral derecho muestra una mayor implicación que el izquierdo, también en el caso de la expresión emocional y para todas las emociones estudiadas. No obstante desde algunas investigaciones se concluye que el hemisferio izquierdo es el dominante en el caso de la expresión de emociones positivas y el hemisferio derecho sólo en las negativas. (4) Los estudios sobre expresión facial en primates no humanos indican que existe una asimetría facial que se manifiesta en una mayor intensidad de la expresión en la mitad izquierda de la cara y, de manera correspondiente, en una mayor implicación del hemisferio cerebral derecho. Se concluye esta revisión considerando que la existencia de semejanzas anatómicas y funcionales entre adultos, niños y primates no humanos justifica el interés por los estudios de ontogenia y filogenia para conocer mejor las bases neurobiológicas que subyacen a la conducta emocional (AU)

Heuristic extraction of rules in pruned artificial neural networks models used for quantifying highly overlapping chromatographic peaks.

The suitability of an approach for extracting heuristic rules from trained artificial neural networks (ANNs) pruned by a regularization method and with architectures designed by evolutionary computation for quantifying highly overlapping chromatographic peaks is demonstrated. The ANN input data are estimated by the Levenberg-Marquardt method in the form of a four-parameter Weibull curve associated with the profile of the chromatographic band. To test this approach, two N-methylcarbamate pesticides, carbofuran and propoxur, were quantified using a classic peroxyoxalate chemiluminescence reaction as a detection system for chromatographic analysis. Straightforward network topologies (one and two outputs models) allow the analytes to be quantified in concentration ratios ranging from 1:7 to 5:1 with an average standard error of prediction for the generalization test of 2.7 and 2.3% for carbofuran and propoxur, respectively. The reduced dimensions of the selected ANN architectures, especially those obtained after using heuristic rules, allowed simple quantification equations to be developed that transform the input variables into output variables. These equations can be easily interpreted from a chemical point of view to attain quantitative analytical information regarding the effect of both analytes on the characteristics of chromatographic bands, namely profile, dispersion, peak height, and residence time.