Cognitive processes affect the gait of subjects with Parkinson’s and Alzheimer’s disease in dual tasks

Objective To investigate the relation between gait parameters and cognitive impairments in subjects with Parkinson’s disease (PD) and Alzheimer’s disease (AD) during the performance of dual tasks. Methods This was a cross-sectional study involving 126 subjects divided into three groups: Parkinson group (n = 43), Alzheimer group (n = 38), and control group (n = 45). The subjects were evaluated using the Timed Up and Go test administered with motor and cognitive distracters. Gait analyses consisted of cadence and speed measurements, with cognitive functions being assessed by the Brief Cognitive Screening Battery and the Clock Drawing Test. Statistical procedures included mixed-design analyses of variance to observe the gait patterns between groups and tasks and the linear regression model to investigate the influence of cognitive functions in this process. A 5% significant level was adopted. Results Regarding the subjects’ speed, the data show a significant difference between group vs task interaction (p = 0.009), with worse performance of subjects with PD in motor dual task and of subjects with AD in cognitive dual task. With respect to cadence, no statistical differences was seen between group vs task interaction (p = 0.105), showing low interference of the clinical conditions on such parameter. The linear regression model showed that up to 45.79%, of the variance in gait can be explained by the interference of cognitive processes. Conclusion Dual task activities affect gait pattern in subjects with PD and AD. Differences between groups reflect peculiarities of each disease and show a direct interference of cognitive processes on complex tasks.

Stress, cognitive appraisal, and psychological health: testing instruments for health professionals

The job of health professionals, including nurses, is considered inherently stressful (Lee & Wang, 2002; Rutledge et al., 2009), and thus it is important to improve and develop specific measures that are sensitive to the demands that health professionals face. This study analysed the psychometric properties of three instruments that focus on the professional experiences of nurses in aspects related to occupational stress, cognitive appraisal, and mental health issues. The evaluation protocol included the Stress Questionnaire for Health Professionals (SQHP; Gomes, 2014), the Cognitive Appraisal Scale (CAS; Gomes, Faria, & Gonçalves, 2013), and the General Health Questionnaire-12 (GHQ-12; Goldberg, 1972). Validity and reliability issues were considered with statistical analysis (i.e. confirmatory factor analysis, convergent validity, and composite reliability) that revealed adequate values for all of the instruments, namely, a six-factor structure for the SQHP, a five-factor structure for the CAS, and a two-factor structure for the GHQ-12. In conclusion, this study proposes three consistent instruments that may be useful for analysing nurses’ adaptation to work contexts.

El impacto de las normas y de la ideología sobre el procesamiento emocional, motivacional y cognitivo del comportamiento político de las elites de poder y la ciudadanía de Córdoba. Norms and ideologies impact on the emotional, motivational and cognitive processesing of power elite and citizen political behavior in Cordoba.

El presente estudio pretende arribar a la construcción de un modelo explicativo del comportamiento político a partir de la contribución que los marcos sociales (norma sociales, normas de ciudadanía, ideología, confianza política) y sociocognitivos (inteligencia afectiva, interés político, eficacia política, conocimiento político, sentimiento de comunidad) mostraron, en términos de relaciones entre las variables, sobre el mismo. Nuestra atención se centra no sólo al comportamiento político de la ciudadanía -que es donde se desarrollaron la mayor parte de los estudios-, sino a las elites de poder constitutivas del sistema político (jueces, legisladores provinciales y representantes de instituciones del gobierno y de organismos no gubernamentales). Asimismo, pretende establecer las diferencias que puedan evidenciarse en torno a la relación de estas variables con el comportamiento político entre los distintos colectivos estudiados en el ámbito de la ciudad de Córdoba. Para ello se realizara una primera etapa de estudio instrumental, con el objeto de analizar las propiedades psicométricas de los instrumentos a utilizar en la operacionalización de las variables. Para ello se tomara una muestra accidental de 250 personas entre 18 y 65 años de edad. Posteriormente, se realizarán dos etapas de estudio ex post facto, con la finalidad de construir los modelos planteados. En la primera de ellas, se trabajará con una muestra accidental de 100 representantes de los grupos de poder estudiados y en la segunda con una muestra probabilística de 500 ciudadanos cordobeses entre 18 y 65 años de edad.

Perfil neuropsicológico y sesgos cognitivos de adolescentes con diferentes patrones de consumo de alcohol. Neuropsychological profile and cognitive bias in adolescents with different alcohol consumption patterns.

Identificación y caracterización del problema objeto de estudio: Diversas investigaciones señalan que el uso o consumo de alcohol comienza durante la adolescencia. En este periodo del desarrollo típicamente se han reportado deterioros asociados con el consumo de alcohol sobre diversas funciones cognitivas. Sin embargo, los hallazgos no siempre han sido concluyentes. Hipótesis: a) Existe una mayor cantidad de déficits neuropsicológicos (especialmente en los dominios asociados con la toma de decisiones) en los grupos de adolescentes que presentan patrones de consumo elevados o tipo binge y en los adolescentes bajo tratamiento; b) Existen sesgos cognitivos de tipo implícito en los adolescentes expuestos a publicidades referidas a bebidas alcohólicas; y c) Existe mayor presencia de expectativas negativas en el grupo conformado por niños, así como una mayor presencia de expectativas positivas en el grupo conformado por adolescentes. Planteo de Objetivos: se pretende lograr un perfil neuropsicológico de adolescentes de ambos sexos en función de patrones de consumo de alcohol bien diferenciados. Asimismo, se intentará determinar la presencia de sesgos cognitivos hacia estímulos asociados con el alcohol en función de las expectativas hacia el psicotrópico y el tipo de consumo del mismo que presenta la población bajo estudio. Finalmente, se buscará determinar si existen cambios evolutivos en las expectativas hacia el alcohol que pudieran indicar la presencia de mayor vulnerabilidad al consumo de alcohol. Materiales y métodos a utilizar: Se utilizarán pruebas neuropsicológicas (IGT, WCST, otras) y cognitivas (AEQ o similares). Se apelará al uso de diseños ex post facto prospectivos de tipo simple o factoriales, diseños factoriales, estudios instrumentales y estudios descriptivos de poblaciones mediante encuestas. Resultados esperados: 1) Se espera encontrar una mayor cantidad de déficits neuropsicológicos (especialmente en los dominios asociados con la toma de decisiones) en los grupos de adolescentes con patrones de consumo de alcohol elevados y binge, así como en el grupo de adolescentes bajo tratamiento. 2) Se espera encontrar la presencia de sesgos cognitivos implícitos en aquellos adolescentes expuestos a publicidades referidas a bebidas alcohólicas en contraposición a los adolescentes expuestos a publicidades de bebidas no-alcohólicas. 3) Se espera encontrar una mayor presencia de expectativas negativas en el grupo conformado por niños, y una mayor presencia de expectativas positivas en el grupo conformado por adolescentes, con lo que se verificaría el supuesto que señala que las EA se modifican a lo largo del desarrollo. Asimismo, se espera confirmar que las EA cambian en función de la experiencia de consumo de alcohol. Importancia del proyecto: En el ámbito local no se han realizado estudios sistemáticos de esta naturaleza, la información que se obtenga permitirá evaluar el impacto del uso y abuso de alcohol durante la adolescencia así como diseñar y ejecutar mejores estrategias de prevención y de rehabilitación y, al mismo tiempo, facilitará la toma de decisiones en el campo de la planificación de políticas sanitarias dirigidas a los adolescentes.

Cellular DBMS : customizable and autonomous data management using a RISC-style architecture

Magdeburg, Univ., Fak. für Informatik, Diss., 2011

"Differential metabolic recruitment of cognitive, emotional and modulatory brain regions in infant and adolescent rats undergoing two-way active avoidance training"

Magdeburg, Univ., Fak. für Naturwiss., Diss., 2011

Impact of Intensive Physiotherapy on Cognitive Function after Coronary Artery Bypass Graft Surgery

Background: Coronary artery bypass graft (CABG) is a standard surgical option for patients with diffuse and significant arterial plaque. This procedure, however, is not free of postoperative complications, especially pulmonary and cognitive disorders. Objective: This study aimed at comparing the impact of two different physiotherapy treatment approaches on pulmonary and cognitive function of patients undergoing CABG. Methods: Neuropsychological and pulmonary function tests were applied, prior to and following CABG, to 39 patients randomized into two groups as follows: Group 1 (control) - 20 patients underwent one physiotherapy session daily; and Group 2 (intensive physiotherapy) - 19 patients underwent three physiotherapy sessions daily during the recovery phase at the hospital. Non-paired and paired Student t tests were used to compare continuous variables. Variables without normal distribution were compared between groups by using Mann-Whitney test, and, within the same group at different times, by using Wilcoxon test. The chi-square test assessed differences of categorical variables. Statistical tests with a p value ≤ 0.05 were considered significant. Results: Changes in pulmonary function were not significantly different between the groups. However, while Group 2 patients showed no decline in their neurocognitive function, Group 1 patients showed a decline in their cognitive functions (P ≤ 0.01). Conclusion: Those results highlight the importance of physiotherapy after CABG and support the implementation of multiple sessions per day, providing patients with better psychosocial conditions and less morbidity.

Theory and measurement of social intelligence as a cognitive performance construct

Social intelligence

Behavioural and cognitive relevance of evoked gamma-band responses in ADHD patients and healthy children

Magdeburg, Univ., Fak. für Natuwiss., Diss., 2009

Motor and cognitive development of selected Egyptian and German primary school aged children : a cross-cultural study

Magdeburg, Univ., Fak. für Humanwiss., Diss., 2013

Serotonergic modulation of action monitoring and cognitive control

Magdeburg, Univ., Fak. für Naturwiss., Diss., 2015

Serum anticholinergic activity and postoperative cognitive dysfunction in elderly patients

Background: Cerebral cholinergic transmission plays a key role in cognitive function and anticholinergic drugs are associated with impaired cognitive functions [1]. In the perioperative phase many substances with anticholinergic effects are administered and disturbed cholinergic transmission is a hypothetical cause of postoperative cognitive dysfunction (POCD). Serum anticholinergic activity (SAA; pmol/ml) may be measured as a summary marker of anticholinergic activity in an individual patient's blood. We hypothesised that an increase in SAA from preoperatively to one week postoperatively is associated with POCD in elderly patients. Methods: Thirty-two patients aged >65 yrs undergoing elective major surgery under standardized general anaesthesia (thiopental, sevoflurane, fentanyl) were investigated. Cognitive functions were measured preoperatively and 7 days postoperatively using the extended version of the Consortium to Establish a Registry for Alzheimer's Disease - Neuropsychological Assessment Battery. POCD was defined as a postoperative decline >1 z-score in at least 2 cognitive domains. SAA was measured preoperatively and 7 days postoperatively at the time of cognitive testing. Results: 50% of the investigated patients developed POCD. There were no statistically significant differences between patients with and without POCD regarding age, education, baseline cognitive function, duration of anaesthesia, SAA preoperatively (median (range) 1.0 (0.3 to 5.0) vs 1.5 (0.4 to 5.0), SAA 7 days postoperatively (median (range) 1.3 (0.1 to 7.0) vs 1.4 (0.6 to 5.5) or changes in SAA (median (range) 0.1 (-1.6 to 2.2) vs 0.2 (-1.4 to 2.8). The variability of SAA in individual patients was considerable and marked changes in SAA between the two examinations were observed in some patients. However, there was no significant relationship between changes in SAA and changes in cognitive function. Conclusion: In this preliminary analysis of a small group of patients, changes in SAA in the perioperative phase were highly variable. SAA was not associated with POCD suggesting that POCD is not simply caused by anticholinergic medications administered in the perioperative phase. A further analysis of a larger group of patients is in progress.

Long-term outcome after cognitive and behavioral regression in nonlesional epilepsy with continuous spike-waves during slow-wave sleep.

PURPOSE: To present the long-term follow-up of 10 adolescents and young adults with documented cognitive and behavioral regression as children due to nonlesional focal, mainly frontal, epilepsy with continuous spike-waves during slow wave sleep (CSWS). METHODS: Past medical and electroencephalography (EEG) data were reviewed and neuropsychological tests exploring main cognitive functions were administered. KEY FINDINGS: After a mean duration of follow-up of 15.6 years (range, 8-23 years), none of the 10 patients had recovered fully, but four regained borderline to normal intelligence and were almost independent. Patients with prolonged global intellectual regression had the worst outcome, whereas those with more specific and short-lived deficits recovered best. The marked behavioral disorders resolved in all but one patient. Executive functions were neither severely nor homogenously affected. Three patients with a frontal syndrome during the active phase (AP) disclosed only mild residual executive and social cognition deficits. The main cognitive gains occurred shortly after the AP, but qualitative improvements continued to occur. Long-term outcome correlated best with duration of CSWS. SIGNIFICANCE: Our findings emphasize that cognitive recovery after cessation of CSWS depends on the severity and duration of the initial regression. None of our patients had major executive and social cognition deficits with preserved intelligence, as reported in adults with early destructive lesions of the frontal lobes. Early recognition of epilepsy with CSWS and rapid introduction of effective therapy are crucial for a best possible outcome.

Alcohol and relatively pure cannabis use, but not schizotypy, are associated with cognitive attenuations

Elevated schizotypy relates to similar cognitive attenuations as seen in psychosis and cannabis/polydrug use. Also, in schizotypal populations cannabis and polydrug (including licit drug) use are enhanced.These cognitive attenuations may therefore either be a behavioral marker of psychotic (-like) symptoms or the consequence of enhanced drug use in schizotypal populations.To elucidate this, we investigated the link between cognitive attenuation and cannabis use in largely pure cannabis users (35) and non-using controls (48), accounting for the potential additional influence of both schizotypy and licit drug use (alcohol, nicotine). Cognitive attenuations commonly seen in psychosis were associated with cannabis and alcohol use, but not schizotypy. Future studies should therefore consider (i) non-excessive licit substance use (e.g., alcohol) in studies investigating the effect of cannabis use on cognition and (ii) both enhanced illicit and licit substance use in studies investigating cognition in schizotypal populations.