COGNITIVE ASSESSMENT USING THE KINARM EXOSKELETON ROBOT IN PATIENTS WITH TRANSIENT ISCHEMIC ATTACK

Background: Transient ischemic attack (TIA) is a condition causing focal neurological deficits lasting less than 24hrs. TIA patients present similarly to other conditions with rapid onset of neurological symptoms such as migraine. The accurate diagnosis of TIA is critical because it serves as a warning for subsequent stroke. Furthermore, cognitive deficit associated with TIA may predict the development of dementia. Therefore, characterizing the cognitive symptoms of TIA patients and discriminating these patients from those with similar symptoms is important for proper diagnosis and treatment. Currently the diagnosis of TIA is made on clinical and radiographic evidence. Robotic assessment, with instruments such as the KINARM, may improve the identification of cognitive impairment in TIA patients. Methods: In this prospective cohort study, two KINARM tests, trail making task (TMT) and spatial span task (SST), were used to detect cognitive deficits. Two study groups were made. The TIA group was tested at 5 time points over the span of a year. The migraine active control group had one initial visit and another a year later. Both of these groups were compared to a normative database of approximately 400 healthy volunteers. From this database age and sex matched normative data was used to calculate Z-scores for the TMT. The Montreal Cognitive Assessment (MoCA) was also administered to both groups. Results: 31 participants were recruited, 20 TIA group and 11 active controls (mean ± SD age= 66 ± 11.3 and 62 ± 14.5). There was no significant difference in TIA and active control group MoCA scores. The TMT was able to detect cognitive impairment in TIA and migraine group. Also, both KINARM tasks could detect significant differences in performance between TIA and migraine patients while the MoCA could not. Changes in TIA and migraine performance on the MoCA, TMT, and SST were observed. Conclusions: The robotic KINARM exoskeleton can be used to assess cognitive deficits in TIA patients.

Does social context influence male mating tactics in Drosophila melanogaster?

Social context, such as mate availability and perceived competition, can influence a male’s mating tactics. In Drosophila melanogaster most research has investigated how physical interactions and the perceived levels of sperm competition alter mating behaviour. I wanted to know if males would respond to the perceived social environments without the presence of physical interaction. Using a unique apparatus, I altered focal males’ social context by separating them physically from a social environment using a screen. Focal males were either in: (i) the presence of rival males and mates, (ii) the presence of potential mates only, (iii) isolation, or (iv) the presence of rival males only. I also manipulated the period the focal male was conditioned to a social environment to assess if the timing of cues is important. My findings suggest that the duration of acclimation alters male mating tactics. Regardless of social environment, the duration a male was conditioned influenced copulation latency. Males that were conditioned to their social environment for the duration of the experiment had differing copulation latencies between environments. Males held in isolation took longer to successfully court females, and transferred less sperm during mating then experimental males in the presence of rival males. Additionally, copulation duration correlated with the number of sperm transferred. Overall, my results suggest that the social environment and the perceived competition level affect mating strategies even without physical interactions. Since this apparatus may trick flies into believing they are a part of a social group, while controlling the male mating status, future work could examine behavioural, genetic and physiological phenotype effects of the social environment for both sexes.