Background
Social functioning is crucial for daily living and is an essential indicator of dementia in patients with Parkinson's disease. The pattern of social functioning in patients with Parkinson's disease without dementia (i.e. those who are cognitively intact or have mild cognitive impairment (PD-MCI)) and its determinants are unclear.
Aims
In exploring the heterogeneity of social functioning among patients with Parkinson's disease-associated dementia, we determined the optimal cut-off score of the Parkinson's Disease Social Functioning Scale (PDSFS) for patients with PD-MCI, and the variables influencing patients’ social functioning.
Method
A total of 302 participants underwent the Mini-Mental State Examination (MMSE) and PDSFS; 120 patients with Parkinson's disease completed the measurements (MMSE, Activities of Daily Living Scale and Neuropsychiatric Inventory). Group comparisons, receiver operating characteristic curves, Spearman correlation and multiple and hierarchical regression analyses were conducted.
Results
The PD-MCI group scored the lowest on the PDSFS (F = 10.10, P < 0.001). The PDSFS cut-off score was 53 (area under the curve 0.700, sensitivity 0.800, specificity 0.534). The MMSE (β = 0.293, P = 0.002), Activities of Daily Living Scale (β = 0.189, P = 0.028) and Neuropsychiatric Inventory (β = −0.216, P = 0.005) scores predicted the PDSFS score. Further, there was an interaction effect between the Activities of Daily Living Scale and Neuropsychiatric Inventory scores on the PDSFS score (β = 0.305, P < 0.001).
Conclusions
We determined a PDSFS cut-off score for detecting PD-MCI and found that patients with PD-MCI have social dysfunction. Future research should focus on the effects of neuropsychiatry symptoms and activities of daily living on social functioning, and tailor the intervention programme for patients with Parkinson's disease.
In order to understand the extreme wave acting on the vertical breakwater, a series of experiments were constructed in the wave tank to measure the variations of pressure on the front, rear faces, and below the caisson due to overtopping waves. The front and backward horizontal forces and the uplift forces were estimated by integrating the dynamic wave pressure distributions. The COBRAS numerical model was also used to calculate the wave loads under various overtopping waves. The measured wave pressures and wave forces were compared with the predictions of numerical results and showed good agreement. It was found that the forces acting on the backward side of the vertical structure induced by the wave overtopping should be considered. From the experimental data, new semi-empirical equations for calculating the maximum wave forces are proposed using a least squares approximation.
The thermoelectric conversion efficiency of BiTe alloys is significantly affected by its microstructure. The columnar crystal structure can improve the thermoelectric conversion efficiency by raising the electrical conductivity σ and reduce the thermal conductivity κ, because of ZT=α 2 σT/κ [1]. Zone-melting process is a method can directionally solidify and purify the ingot by a moving heater along the solid ingot. In this study, we setup a zonemelting model and use computer simulation techniques to simulate the heat transfer field and microstructure of BiTe alloys. We compared the vertical temperature gradients and the horizontal temperature gradients with different simulation parameters. In view of the fact that operation of the process is not easy, simulation system has not yet been verified accurately. The simulation results will be verified by the experiment. Furthermore, the verified numerical model will be used to investigate the optimal processing parameters.
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