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1.
Neurology ; 98(9): e947-e957, 2022 03 01.
Artículo en Inglés | MEDLINE | ID: mdl-34969939

RESUMEN

OBJECTIVE: Cholinergic degeneration and ß-amyloid contribute to brain atrophy and cognitive dysfunction in Alzheimer disease (AD) and Lewy body disease (LBD), but their relationship has not been comparatively evaluated. METHODS: In this cross-sectional study, we recruited 28 normal controls (NC), 55 patients with AD mild cognitive impairment (MCI), 34 patients with AD dementia, 28 patients with LBD MCI, and 51 patients with LBD dementia. Participants underwent cognitive evaluation, brain MRI to measure the basal forebrain (BF) volume and global cortical thickness (CTh), and 18F-florbetaben (FBB) PET to measure the standardized uptake value ratio (SUVR). Using general linear models and path analyses, we evaluated the association of FBB-SUVR and BF volume with CTh or cognitive dysfunction in the AD spectrum (AD and NC) and LBD spectrum (LBD and NC), respectively. Covariates included age, sex, education, deep and periventricular white matter hyperintensities, intracranial volume, hypertension, diabetes, and hyperlipidemia. RESULTS: BF volume mediated the association between FBB-SUVR and CTh in both the AD and LBD spectra, while FBB-SUVR was associated with CTh independently of BF volume only in the LBD spectrum. Significant correlation between voxel-wise FBB-SUVR and CTh was observed only in the LBD group. FBB-SUVR was independently associated with widespread cognitive dysfunction in both the AD and LBD spectra, especially in the memory domain (standardized beta [B] for AD spectrum = -0.60, B for LBD spectrum = -0.33). In the AD spectrum, BF volume was associated with memory dysfunction (B = 0.18), and CTh was associated with language (B = 0.21) and executive (B = 0.23) dysfunction. In the LBD spectrum, however, BF volume and CTh were independently associated with widespread cognitive dysfunction. CONCLUSIONS: There is a common ß-amyloid-related degenerative mechanism with or without the mediation of BF in the AD and LBD spectra, while the association of BF atrophy with cognitive dysfunction is more profound and there is localized ß-amyloid-cortical atrophy interaction in the LBD spectrum.


Asunto(s)
Enfermedad de Alzheimer , Prosencéfalo Basal , Disfunción Cognitiva , Enfermedad por Cuerpos de Lewy , Enfermedad de Alzheimer/complicaciones , Enfermedad de Alzheimer/diagnóstico por imagen , Péptidos beta-Amiloides/metabolismo , Prosencéfalo Basal/metabolismo , Encéfalo/metabolismo , Cognición , Estudios Transversales , Humanos , Enfermedad por Cuerpos de Lewy/complicaciones , Enfermedad por Cuerpos de Lewy/diagnóstico por imagen , Tomografía de Emisión de Positrones
2.
Nanoscale Res Lett ; 7(1): 181, 2012 Mar 08.
Artículo en Inglés | MEDLINE | ID: mdl-22401650

RESUMEN

In the present paper, we describe a new and original method to obtain transparent, siloxane-based composites, with high refractive index (up to 1.68). The method is based on the decomposition of Zn-siloxane, mixed with a poly-(dimethyl)-block-(phenyl)siloxane matrix in different ratios. It was found that after treatment of such mixed metal-containing polymer blend with H2S, the nanoparticles of ZnS are formed, with the size in a 1- to 5-nm range, which allow effective increase of the refractive index of the nanocomposite mixture with poly-(dimethyl)-block-(phenyl)siloxane without loss of film transparency. We succeded to increase the refractive index from 1.54 (pure matrix) up to 1.68 (composite with a ZnS content of 4.6 vol.%). The siloxane-based compositions are optically transparent, which makes it possible to use them as light-emitting diodes or solar cell sealants or adhesives.

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