There is need for a valid, sensitive and short instrument capable of detecting and quantifying behavioural changes in ALS, which can be utilized in clinical and research settings. This study aimed to 1) develop and validate such an instrument; 2) verify the most common behavioural symptoms; and 3) investigate longitudinal changes over a six-month period. Two hundred and nineteen patients were included. The development sample (n = 140) was used to determine the most appropriate items to include in the new tool, the Motor Neuron Disease Behavioural Instrument (MiND-B) * , via a data-driven approach. An independent sample (n = 79) validated the tool. A more comprehensive sample (n = 50, sub-classified into ALS and ALS plus) was utilized to verify if the MiND-B could detect ALS plus patients. Finally, 20 ALS patients completed the MiND-B after a six-month period. Apathy, disinhibition and stereotypical behaviour were all found to be very common symptoms in ALS occurring in 75%, 66% and 58%, respectively, of cases. Notably, the MiND-B could identify ALS plus patients without standard cognitive assessments. In conclusion, the MiND-B tool can detect patients with ALS plus reliably, by means of questions to the informant. This test could enable ALS centres to evaluate non-motor symptoms and adapt management and decision-making approaches as necessary. *only available in the online version of the journal. Please find this material with the following direct link to the article: http://www.informahealthcare.com/(DOI: 10.3109/21678421.2014.896927).
Background
Fragile X syndrome (FXS) is the most common known heritable cause of intellectual disability. Prior studies in FXS have observed a plateau in cognitive and adaptive behavioral development in early adolescence, suggesting that brain development in FXS may diverge from typical development during this period.
Methods
In this study, we examined adolescent brain development using structural magnetic resonance imaging data acquired from 59 individuals with FXS, and 83 typically developing (TD) controls aged 9 to 22, a subset of whom were followed-up longitudinally (1-5 years; TD:17, FXS:19). Regional volumes were modeled to obtain estimates of age-related change.
Results
We found that while structures such as the caudate showed consistent volume differences from controls across adolescence, prefrontal cortex gyri (PFC) showed significantly aberrant maturation. Furthermore, we found that PFC-related measures of cognitive functioning followed a similarly aberrant developmental trajectory in FXS.
Conclusions
Our findings suggest that aberrant maturation of the PFC during adolescence may contribute to persistent or increasing intellectual deficits in FXS.
A series of Cu4X4(PPh2py)2 compounds (X = Cl (1), Br (2), I (3), PPh2py = 2-(diphenylphosphino)pyridine) were prepared and characterized using X-ray crystallography, NMR, UV-vis, and luminescence spectroscopy. The copper chloride and bromide clusters have Cu4X4 octahedral cores while the copper iodide clusters contain an unprecedented butterfly shaped core. Crystallization of the copper bromide and iodide clusters from the appropriate solvent produced the solvates 2·2CH2Cl2, 2·2CHCl3, and 3·0.5CH2Cl2 where the presence of the lattice solvate influences the overall structural properties. Using TD-DFT calculations, the emission was assigned to a mixed metal- and halide-to-ligand charge transfer, (M + X)LCT. Subtle differences in the copper core geometry and μ-halide bonding perturb the emissions of these copper(I) halide clusters.
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