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Frailty is associated with cognitive decline in older adults. However, the mechanisms explaining this relationship are poorly understood. We hypothesized that sleep quality may mediate the relationship between frailty and cognition.
154 participants aged between 50-90 years (mean = 69.1 years, SD = 9.2 years) from the McKnight Brain Registry were included.
Participants underwent a full neuropsychological evaluation, frailty and subjective sleep quality assessments. Direct relationships between frailty and cognitive function were assessed using linear regression models. Statistical mediation of these relationships by sleep quality was assessed using nonparametric bootstrapping procedures.
Frailty severity predicted weaker executive function (B = −2.77, β = −0.30, 95% CI = −4.05 – −1.29) and processing speed (B = −1.57, β = −0.17, 95% CI = −3.10 – −0.16). Poor sleep quality predicted poorer executive function (B = −0.47, β = −0.21, 95% CI = −0.79 – −0.08), processing speed (B = −0.64, β = −0.28, 95% CI = −0.98 – −0.31), learning (B = −0.42, β = −0.19, 95% CI = −0.76 – −0.05) and delayed recall (B = −0.41, β = −0.16, 95% CI = −0.80 – −0.31). Poor sleep quality mediated the relationships between frailty severity and executive function (B = −0.66, β = −0.07, 95% CI = −1.48 – −0.39), learning (B = −0.85, β = −0.07, 95% CI = −1.85 – −0.12), delayed recall (B = −0.47, β = −0.08, 95% CI = −2.12 – −0.39) and processing speed (B = −0.90, β = −0.09, 95% CI = −1.85 – −0.20).
Relationships between frailty severity and several cognitive outcomes were significantly mediated by poor sleep quality. Interventions to improve sleep quality may be promising avenues to prevent cognitive decline in frail older adults.
The objective of this study was to determine whether Staphylococcus aureus chronic intramammary infection (IMI) influences expression of proteins related to regulation of proliferation and apoptosis processes and proliferation/apoptosis index during active involution in bovine mammary gland. Twenty-one Holstein non-pregnant cows in late lactation either uninfected or with chronic naturally acquired S. aureus IMI were included in this study. Cows were slaughtered at 7, 14 and 21 d after cessation of milking and samples for immunohistochemical analysis were taken. Protein expression of Bcl-2, Bax, Fas and active caspase-3 in mammary tissue was significantly affected by chronic S. aureus IMI, all showing increased immunoexpression in S. aureus-infected quarters at all involution stages. The percentage of apoptotic cells was increased by IMI in both mammary parenchyma and stroma, and the percentage of parenchymal and stromal cell proliferation was also increased. The proliferation/apoptosis ratio was significantly increased by IMI only in stromal cells. This imbalance to favour proliferation in S. aureus-infected mammary quarters could be one of the underlying causes that induce aberrant involution with permanence of nonsecretory tissue and increase of stromal components.
Helicobacter pylori infection is a major cause of peptic ulcer and is also associated with chronic gastritis, mucosa-associated lymphoid tissue (MALT) lymphoma, and adenocarcinoma of the stomach. Guidelines have been developed in the United States and Europe (areas with low prevalence) for the diagnosis and management of this infection, including the recommendation to ‘test and treat’ those with dyspepsia. A group of international experts performed a targeted literature review and formulated an expert opinion for evidenced-based benefits and harms for screening and treatment of H. pylori in high-prevalence countries. They concluded that in Arctic countries where H. pylori prevalence exceeds 60%, treatment of persons with H. pylori infection should be limited only to instances where there is strong evidence of direct benefit in reduction of morbidity and mortality, associated peptic ulcer disease and MALT lymphoma and that the test-and-treat strategy may not be beneficial for those with dyspepsia.
We performed a study to determine rates of reinfection in three groups followed for 2 years after successful treatment: American Indian/Alaska Native (AI/AN) persons living in urban (group 1) and rural (group 2) communities, and urban Alaska non-Native persons (group 3). We enrolled adults diagnosed with H. pylori infection based on a positive urea breath test (13C-UBT). After successful treatment was documented at 2 months, we tested each patient by 13C-UBT at 4, 6, 12 and 24 months. At each visit, participants were asked about medication use, illnesses and risk factors for reinfection. We followed 229 persons for 2 years or until they became reinfected. H. pylori reinfection occurred in 36 persons; cumulative reinfection rates were 14·5%, 22·1%, and 12·0% for groups 1, 2, and 3, respectively. Study participants who became reinfected were more likely to have peptic ulcer disease (P = 0·02), low education level (P = 0·04), or have a higher proportion of household members infected with H. pylori compared to participants who did not become reinfected (P = 0·03). Among all three groups, reinfection occurred at rates higher than those reported for other US populations (<5% at 2 years); rural AI/AN individuals appear to be at highest risk for reinfection.
We present results of the X-ray monitoring of V4046 Sgr, a close classical T Tauri star binary, with both components accreting material. The 360 ks long XMM observation allowed us to measure the plasma densities at different temperatures, and to check whether and how the density varies with time. We find that plasma at temperatures of 1–4 MK has high densities, and we observe correlated and simultaneous density variations of plasma, probed by O VII and Ne IX triplets. These results strongly indicate that all the inspected He-like triplets are produced by high-density plasma heated in accretion shocks, and located at the base of accretion flows.
We present a preliminary 3D potential field extrapolation model of the joint magnetosphere of the close accreting PMS binary V4046 Sgr. The model is derived from magnetic maps obtained as part of a coordinated optical and X-ray observing program.
Social roles theorists claim that differences between the sexes are of limited consequence. Such misperceptions lead to misunderstanding the important role of sexual selection in explaining phenotypic differences both between species and within humans. Countering these claims, we explain how sexual dimorphism in humans affect expressions of artistic display and patterns of male and female aggression across the ovulatory cycle.
We demonstrated a novel approach to fabricate a self-assembled array of energetic nanocomposites which undergo an exothermic reaction at high temperature. The nanocomposites are a mixture of fuel and oxidizer materials where one of the components (fuel or oxidizer) is in the form of an array of nanowires embedded in the other component (oxidizer or fuel) which is in the form of a thin film. Our fabrication approach allows for a very high packing density of the nanocomposites, precise control of oxidizer-fuel sizes at the nanoscale level and intimate mechanical contact between oxidizer and fuel. Such nanocomposites will have important applications in novel energetic devices, for example MEMS-based fuzes, nanoexplosives and in applications requiring light-weight, single-use energy sources.
When commentators discuss the Israeli political system, they invariably single it out as the exception in a region otherwise lacking in democratic and representative regimes. Although political philosophers and theorists remind us that the test of de mocracy hinges on, among other things, the way a society treats its minorities and guarantees them civil and political rights in the face of majority opposition, the de bate over what constitutes justice, equality, and freedom is unlikely to be resolved in a discussion centered on abstract principles and their absolute meanings. It is one thing for a society to profess egalitarian values and another to measure the extent to which these values are perceived and experienced by those immediately affected by them. This does not mean that there are no universal standards of justice against which to measure performance of the law. Our point is that the experiential dimen sion of the law is equally relevant, for it mediates between the meaning of the law as derived from abstract principles and the way it is implemented in daily life.