Hedonic Deficits in Parkinson’s Disease: Is Consummatory Anhedonia Specific?

Background: Anhedonia, the lowered ability to experience pleasure, is one of the non-motor symptoms of Parkinson’s disease (PD) that is underdiagnosed and consequently undertreated. Few studies have investigated anhedonia in PD by taking into account the influence of socio-demographic variables and versus a control group composed of patients with a pure motor neurologic disease other than PD. The aim of this study was to investigate hedonic deficits in patients with PD compared to a control group of patients with non-Parkinson motor neurologic disease (OND), matched for age, gender, level of education, and inpatient/outpatient status. Distinctions between anticipatory and consummatory anhedonia and between endogenomorphic and non-endogenomorphic depression were taken into account. Methods: The study population comprised 49 PD patients and 40 subjects with OND. Anhedonia was rated by using the anticipatory [Temporal Experience Pleasure Scale (TEPS)-ANT] and consummatory (TEPS-CONS) subscales of the TEPS and two subscales extracted from the revised Physical Anhedonia Scale (PAS), measuring physical anticipatory (PAS-ANT) and physical consummatory (PAS-CONS) anhedonias. The Snaith–Hamilton Pleasure Scale (SHAPS) and the Beck Depression Inventory-II (BDI-II) were also used together with a subscale extracted from the BDI-II (ENDO-BDI-II) for the diagnosis of endogenomorphic depression. Statistical analyses were performed on the whole group and on the PD group. Results: As hypothesized, several anhedonia scores varied with age and gender in the whole population or in the PD group. On univariate or multivariate analyses, only PAS-CONS was specific for PD and only SHAPS scores differed between depression subtypes in the whole population or the PD group. Conclusion: This study suggests that physical consummatory anhedonia could be specific to PD subjects

The Livelihood Change of Fishermen Recipient Grant Program of Coalition Party in Lubuk Puding Village Buru District of Karimun Regency of Riau Islands Province

This study was conducted in January 2016 in the village of Lubuk Puding in the District of Buru Karimun Riau Islands Province. The objective of this study was to determine the characteristics of fishing grantees, to determine changes in fishing livelihoods after receiving the grant, and to determine the relationship characteristic of changes, livelihoods and grants program. The method used in this study was survey of 160 grantees fishermen population, in which this study taken as much as 15% of the 160 populations or 24 peoples.Based on the research result, the characteristics of grant recipient are productive fishermenage, low education and the number of family member of fishermen. The livelihood of fishermen grant recipients changed from the preparatory stage to the growth stage, while in food consumption and employment on a fixed income and sanitation and hygiene unchanged. Characteristics with real changes in the livelihoods of fishermen are age which have relationship with income and with the job opportunities, the number of family member has relationship with food consumption and grant, and food consumption have relationships with the grant

How to Capitalize on the Retest Effect in Future Trials on Huntington's Disease.

The retest effect-improvement of performance on second exposure to a task-may impede the detection of cognitive decline in clinical trials for neurodegenerative diseases. We assessed the impact of the retest effect in Huntington's disease trials, and investigated its possible neutralization. We enrolled 54 patients in the Multicentric Intracerebral Grafting in Huntington's Disease (MIG-HD) trial and 39 in the placebo arm of the Riluzole trial in Huntington's Disease (RIL-HD). All were assessed with the Unified Huntington's Disease Rating Scale (UHDRS) plus additional cognitive tasks at baseline (A1), shortly after baseline (A2) and one year later (A3). We used paired t-tests to analyze the retest effect between A1 and A2. For each task of the MIG-HD study, we used a stepwise algorithm to design models predictive of patient performance at A3, which we applied to the RIL-HD trial for external validation. We observed a retest effect in most cognitive tasks. A decline in performance at one year was detected in 3 of the 15 cognitive tasks with A1 as the baseline, and 9 of the 15 cognitive tasks with A2 as the baseline. We also included the retest effect in performance modeling and showed that it facilitated performance prediction one year later for 14 of the 15 cognitive tasks. The retest effect may mask cognitive decline in patients with neurodegenerative diseases. The dual baseline can improve clinical trial design, and better prediction should homogenize patient groups, resulting in smaller numbers of participants being required

Longitudinal study of informed consent in innovative therapy research: experience and provisional recommendations from a multicenter trial of intracerebral grafting.

BACKGROUND: There is an urgent need to assess and improve the consent process in clinical trials of innovative therapies for neurodegenerative disorders. METHODS: We performed a longitudinal study of the consent of Huntington's disease patients during the Multicenter Fetal Cell Intracerebral Grafting Trial in Huntington's Disease (MIG-HD) in France and Belgium. Patients and their proxies completed a consent questionnaire at inclusion, before signing the consent form and after one year of follow-up, before randomization and transplantation. The questionnaire explored understanding of the protocol, satisfaction with the information delivered, reasons for participating in the trial and expectations regarding the transplant. Forty-six Huntington's disease patients and 27 proxies completed the questionnaire at inclusion, and 27 Huntington's disease patients and 16 proxies one year later. RESULTS: The comprehension score was high and similar for Huntington's disease patients and proxies at inclusion (72.6% vs 77.8%; P > 0.1) but only decreased in HD patients after one year. The information satisfaction score was high (73.5% vs 66.5%; P > 0.1) and correlated with understanding in both patients and proxies. The motivation and expectation profiles were similar in patients and proxies and remained unchanged after one year. CONCLUSIONS: Cognitively impaired patients with Huntington's disease were capable of consenting to participation in this trial. This consent procedure has presumably strengthened their understanding and should be proposed before signing the consent form in future gene or cell therapy trials for neurodegenerative disorders. Because of the potential cognitive decline, proxies should be designated as provisional surrogate decision-makers, even in competent patients

Charakterystyka cyklonów tropikalnych występujących na obszarze Tajlandii w poszczególnych porach roku i towarzyszących im warunków pogodowych na podstawie danych z lat 2000-2009

The aim of this paper is to characterise tropical cyclones occurring in Thailand in different seasons of the year – together with accompanying weather conditions – based on data from the years 2000–2009. It has been found that most cyclones occur during the rainy season, especially in September and October. They usually bring heavy rain and cause numerous floods, although in most cases they come to Thailand in the tropical depression stage, where the wind speed does not exceed 56 km/h. It has been found that cyclones in the area of Thailand pass through different regions and provinces, depending on the season. In the hot season, mainly southern and northern provinces are exposed, whereas in the rainy season northern and north-eastern ones; towards the end of September also the central provinces, while in the cool season – southern ones. In the analyzed period, most cyclones occurred in the provinces of Nong Khai and Nan, being part of the north-east region and the north region respectively, while no cyclone showed up in the eastern region. It has been found that the routes of some cyclones differ from those widely accepted for a given month, and many of them – especially at the end of the rainy season and the cool season – proceeded over the territory of Thailand in the direction of the Andaman Sea and the Bay of Bengal

Cyklony tropikalne na obszarze Tajlandii

The purpose of this paper is characteristic of tropical cyclones occurring in Thailand, and thus to detect and describe some rules governing them. It was found that cyclones occur over the area of Thailand, mostly in October, and have most of tropical depression strength. Based on the data from the years 1951–2009 184 tracks of the movement of cyclones were analyzed appearing at that time in the area of Thailand, and then determined the regions and provinces most vulnerable to the emergence of the storm in each month of their occurrence. It was found the cyclones penetrate the area of Thailand, usually from the east, covering different regions depending on the month in which they appear. The region most vulnerable to the emergence of the cyclones in the Northeast region, while the provinces through which most of cyclones passed are two provinces in the North – Chiang Mai and Nan

Treatment with Botulinum Neurotoxin Improves Activities of Daily Living and Quality of Life in Patients with Upper Limb Tremor

Background: Botulinum neurotoxin’s degree of effectiveness on upper limb tremor is subject to debate; although this treatment reduces the tremor’s amplitude, a clear functional benefit has not been demonstrated. The objective of this study was to assess the effect of botulinum neurotoxin type A treatment on activities of daily living and quality of life in patients with upper limb tremor. Methods: We retrospectively examined the medical records of 50 consecutive patients treated with botulinum neurotoxin for upper limb tremor that was refractory to oral medication. One month after the injection, the patient was evaluated according to the Quality of Life in Essential Tremor Questionnaire, and the Essential Tremor Embarrassment Assessment. Results: Full data sets were available for 38 patients suffering variously from essential tremor (n = 21), Holmes tremor secondary to a focal brain lesion (n = 8), idiopathic dystonic tremor (n = 4), primary writing tremor (n = 4), and Parkinson’s disease (n = 1). The Quality of Life Essential Tremor Questionnaire and the Essential Tremor Embarrassment Assessment scores improved significantly (p < 0.001) in the study population as a whole, and in the essential tremor and Holmes tremor subgroups. Discussion: Botulinum neurotoxin treatment of patients with upper limb tremor is associated with improved quality of life and activities of daily living, irrespective of the tremor’s etiology. Long-term treatment enables the physician to adjust the injection strategy to the patient’s needs. Our study was limited by its retrospective design. The results must therefore be confirmed in a prospective, double-blind, placebo-controlled, randomized clinical trial

PP1 and PP2A use opposite phospho-dependencies to control distinct processes at the kinetochore

PP1 and PP2A-B56 are major serine/threonine phosphatase families that achieve specificity by colocalizing with substrates. At the kinetochore, however, both phosphatases localize to an almost identical molecular space and yet they still manage to regulate unique pathways and processes. By switching or modulating the positions of PP1/PP2A-B56 at kinetochores, we show that their unique downstream effects are not due to either the identity of the phosphatase or its precise location. Instead, these phosphatases signal differently because their kinetochore recruitment can be either inhibited (PP1) or enhanced (PP2A) by phosphorylation inputs. Mathematical modeling explains how these inverse phospho-dependencies elicit unique forms of cross-regulation and feedback, which allows otherwise indistinguishable phosphatases to produce distinct network behaviors and control different mitotic processes. Furthermore, our genome-wide analysis suggests that these major phosphatase families may have evolved to respond to phosphorylation inputs in opposite ways because many other PP1 and PP2A-B56-binding motifs are also phospho-regulated

Design of the Heat Receiver for the U.S./Russia Solar Dynamic Power Joint Flight Demonstration

A joint U.S./Russia program is being conducted to develop, fabricate, launch, and operate a solar dynamic demonstration system on Space Station Mir. The goal of the program is to demonstrate and confirm that solar dynamic power systems are viable for future space applications such as the International Space Station Alpha The major components of the system include a heat receiver, a closed Brayton cycle power conversion unit, a power conditioning and control unit, a concentrator, a radiator, a thermal control system, and a Space Shuttle Carrier. This paper discusses the design of the heat receiver component. The receiver comprises a cylindrical cavity, the walls of which are lined with a series of tubes running the length of the cavity. The engine working fluid, a mixture of xenon and helium, is heated by the concentrated sunlight incident on these tubes. The receiver incorporates integral thermal storage, using a eutectic mixture of lithium fluoride and calcium difluoride as the thermal storage solid-to-liquid phase change materiaL This thermal storage is required to enable power production during eclipse. The phase change material is contained in a series of individual containment canisters