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Cortical Lewy body disease LBD pathology appears to be the major contributing pathology to cognitive decline in PD[ 6 ], but Alzheimer disease AD -related changes are also present in a significant percentage of patients[ 7 ].
A range of neurotransmitter deficits have been implicated, including in acetylcholine[ 8 ], dopamine[ 9 ], and norepinephrine systems[ 10 ]. Finally, diffuse primarily medial temporal lobe, parietal lobe and prefrontal cortex gray matter atrophy and white matter changes have been associated with cognitive decline in PD[ 1516 ].
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The research on the neural substrates of the initial stages of cognitive decline in PD, starting with disease onset, are limited, with previous studies often characterized by single site participation, relatively small sample sizes, cross-sectional design, or a limited biomarker assessment. The goals of these analyses were to evaluate which baseline and longitudinal biomarkers may predict cognitive impairment in early PD.
At baseline PD participants were required to: The aims and methodology of the study have been published elsewhere[ 17 ] and are available at www. The overall study was approved by the Research Subjects Review Board at the University of Rochester, and the study was approved by the institutional review board at each site, and participants provided written informed consent.
Clinical data out to three years post-baseline was utilized. Data was downloaded on September 21, ; at the time of data download 38 PD patients had discontinued study participation 9. Experimental design Cognitive abilities Cognition was assessed at baseline and annually. In addition, a detailed cognitive battery, as previously described and referenced[ 18 ], assessing the following domains was administered: Level II PD-MCI criteria[ 19 ] were not applicable given the lack of a separate language assessment or 10 cognitive tests across 5 domains.
Published norms for each test were applied. Definitions of cognitive impairment For the purposes of these analyses cognitive impairment was defined three different ways: Additionally, MoCA score was also examined as a continuous variable.
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Single scores were generated for each test, except for the HVLT-T, for which two scores were used immediate free recall and recognition discrimination. Each site investigator was provided an instruction sheet that outlined how to assess cognitive decline, functional impairment, and general interpretation of cognitive tests to make a diagnosis of PD-MCI[ 19 ] or PDD[ 21 ].
Biomarkers Details about the biospecimen collection and analysis has been published[ 17 ]. CSF was obtained at baseline, month 6, year 1, and then annually using collection steps as described [ 22 ]. At the time of data download, values were available only for the baseline visit. The images were centrally processed at UCSF for cortical and subcortical morphometric measurements using FreeSurfer version 5.
FreeSurfer is a suite of algorithmic tools that automatically creates models of most anatomical brain structures on MRI based on a subject-independent probabilistic brain atlas in combination with nonlinear image registration of individual images to obtain subject-specific measurements. This strategy reduces the random variation in the processing procedure and improves the robustness and sensitivity of the overall longitudinal analysis. A previous test-retest study validated that the longitudinal processing provides consistent brain parcellation[ 24 ].
All raw images as well as the results of brain parcellation underwent a visual quality control by trained technicians. The errors also did not appear to be systematic and MRIs with a partial failure rating were still included in the analyses but only the correctly parcellated brain regions were assessed.
The outcome measures of the FreeSurfer workflow were 93 automatically-labeled brain regions, including gyri and subcortical structures, for each subject.
MRI data for baseline, year 1 and year 2 visits were utilized for volume and thickness for 34 regions, with left and right hemisphere values averaged. Students need a goal statement, transcript, and three recommendations.
The main application covers the 11, and there are separate applications for GM and Project Lead the Way. To apply, go to www. Students must complete the application and contact Mrs. Vande Lune at by Feb. The national DAR offers a large number of scholarships. If any senior is interested, see Mr. Short or go online at www. If interested, submit a resume to the CO by Jan.
Maddy Howerton and Ruth Durham. To apply, see Mr. He may nominate one boy and one girl by Feb. PHP is giving scholarships for health-related fields. Christian athletes are invited to contact www. Section College Savings Plans offer a great opportunity for families to accumulate college funds and receive tax benefits.
Taylor Community Schools
Funds are deposited in an account where they grow tax free as long as they are spent for higher education. Indiana offers an additional bonus: Short at home Students receive full tuition, a laptop, internship stipend, and study abroad financial support. To apply, go to bsu. Students need outstanding academics to qualify. Those not offered a scholarship may apply to the program by March 1. Need is not considered. Participants are automatically allowed to take small-size Honors classes.
Apply online at www. There are three things all of you that are headed for college or vocational school must do: Apply for the Taylor Sellers Scholarship by April Submit the Community Foundation Application by March 2.
However, different colleges offer more. Mary of the Woods, and Marian College, private colleges, grant full tuition. Besides the usual free tuition, you can also receive free books, room, and food! However, you are required to complete the ScholarTrack and carry a B- avg. Read your 21st Century newsletters! Comcast is still available! Taylor is allowed one nominee.
Also, they must be good role models. Interested seniors may contact Mr. The nomination is due by Jan. BK gives three in Kokomo. Students do not have to work at BK. However, there is a separate scholarship for students who are connected to BK. Applications must be submitted online by Dec. Go to its web site: One letter of recommendation is required.
Taylor has a great track record with this one: Essays are due Jan. Lugar Minority is asking us to nominate one boy and one girl for ten state scholarships. African-American, Hispanic, or American Indian. Need is not a factor. Applications are due in the CO by Dec. Before applying, you must help with the Goodfellows clothing giveaway one night between Dec.
Go through the NE door of Meijer at 5: You will be given one of two jobs: You will be finished around 8: Call John Wiles at least a week beforehand. You will receive a signed form after working which you will attach to the scholarship application. Besides the chance to win a scholarship, you will be blessed by the experience!
The application and attachments are due in the Counseling Office by Dec. You must teach in Indiana for five years. Because of its high standards, its recipients will be on the fast track for employment. Looking for something to do over vacation? You can get information by calling Ed-Aid You can file online at www.
To get a head start on your FAFSA and an idea of how much financial aid you will get, go online to www. If you need additional help, see Mrs. There is no charge to join!
There are few applicants, thereby increasing your chances! City of Firsts and Indiana Heartland. As a community CU, It welcomes anybody who wants to join! It is limited to families of certain groups, such as St. Joan of Arc and St. Joe Hospital, and a few other groups to check on the smaller groups, call These are good opportunities for students who follow the above suggestions!!!
The Rescue Mission needs people to deliver gift boxes The Salvation Army needs bell ringers, sometimes paid This email address is being protected from spambots. You will need to send in most of them.