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https://www.readbyqxmd.com/read/29653018/brain-complications-of-diabetes-mellitus-a-cross-sectional-study-of-awareness-among-individuals-with-diabetes-and-the-general-population-in-ireland
#1
C Dolan, R Glynn, S Griffin, C Conroy, C Loftus, P C Wiehe, M L Healy, B Lawlor
AIMS: To identify awareness of potential brain complications of diabetes among individuals with diabetes and the public. METHODS: For this observational, cross-sectional survey study, we recruited consecutive adult attendees of a specialist diabetes clinic and two primary care practices. Primary care attendees represented members of the general population of Ireland. An interviewer-administered questionnaire was used to gather data on respondents' awareness of brain complications of diabetes and modifiable risk factors for dementia...
April 13, 2018: Diabetic Medicine: a Journal of the British Diabetic Association
https://www.readbyqxmd.com/read/29651270/disparities-in-functional-outcome-after-intracerebral-hemorrhage-among-asians-and-pacific-islanders
#2
Kazuma Nakagawa, Sage L King, Todd B Seto, Marjorie K L M Mau
Background: Disparities in outcome after intracerebral hemorrhage (ICH) among Asians, Native Hawaiians, and other Pacific Islanders (NHOPI) have been inadequately studied. We sought to assess differences in functional outcome between Asians and NHOPI after ICH. Methods: A multiracial prospective cohort study of ICH patients was conducted from 2011 to 2016 at a tertiary center in Honolulu, HI, USA to assess racial disparities in outcome after ICH. Favorable outcome was defined as 3-month modified Rankin Scale (mRS) score ≤2...
2018: Frontiers in Neurology
https://www.readbyqxmd.com/read/29650865/-association-of-the-types-of-dementia-and-the-incidence-of-hypertension-diabetes-mellitus-or-bone-fracture
#3
Seiji Kondo, Yasuko Kondo
Patients with dementia tend to have other chronic diseases, such as hypertension or diabetes mellitus. As dementia progresses, patients tend to decline to a frail state, resulting in bone fracture. In this study, we examined the relationship of the types of dementia and the incidence of other diseases and bone fracture.
March 2018: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29629297/influences-of-pinpoint-plantar-long-wavelength-infrared-light-irradiation-stress-free-therapy-on-chorioretinal-hemodynamics-atherosclerosis-factors-and-vascular-endothelial-growth-factor
#4
Keisou Ishimaru, Takuma Nakajima, Yoshihisa Namiki, Kenji Ryotokuji
Background: We previously reported that pinpoint plantar long-wavelength infrared light irradiation (stress-free therapy; SFT) is useful for alleviating insulin resistance and improving intracranial blood flow in patients with type 2 diabetes mellitus. This study was undertaken to evaluate the influences of SFT on chorioretinal hemodynamics (retinal artery and vein blood flows) as well as atherosclerosis-related factors (TG, LDL-C) and VEGF in patients with dyslipidemia. Methods: Four patients with dyslipidemia received 15-minute irradiation with a stress-free apparatus (far-infrared wavelength, 30 mW)...
March 2018: Integrative Medicine Research
https://www.readbyqxmd.com/read/29626315/new-views-and-possibilities-of-antidiabetic-drugs-in-treating-and-or-preventing-mild-cognitive-impairment-and-alzheimer-s-disease
#5
REVIEW
Kai Long Zhong, Fang Chen, Hao Hong, Xuan Ke, Yang Ge Lv, Su Su Tang, Yu Bing Zhu
Mounting evidence suggests that diabetes mellitus (DM) is associated with mild cognitive impairment (MCI), vascular dementia and Alzheimer's disease (AD). Biological, clinical and epidemiological data support a close link between DM and AD. Increasingly, studies have found that several antidiabetic agents can promote neurogenesis, and clinically ameliorate cognitive and memory impairments in different clinical settings. Data has shown that these antidiabetic drugs positively affect mitochondrial and synaptic function, neuroinflammation, and brain metabolism...
April 6, 2018: Metabolic Brain Disease
https://www.readbyqxmd.com/read/29615758/von-willebrand-factor-and-adamts13-activity-in-relation-to-risk-of-dementia-a-population-based-study
#6
Frank J Wolters, Johan Boender, Paul S de Vries, Michelle A Sonneveld, Peter J Koudstaal, Moniek P de Maat, Oscar H Franco, M Kamran Ikram, Frank W Leebeek, M Arfan Ikram
Low ADAMTS13 activity is associated with an increased risk of cardiovascular disease, which is generally attributed to its proteolytic effects on Von Willebrand factor (VWF). Cardiovascular health is an important determinant of cognitive decline, but the association of either VWF or ADAMTS13 with risk of dementia is unknown. Between 1997-2002, we measured VWF antigen and ADAMTS13 activity in 6055 participants of the population-based Rotterdam Study (mean age 69.3 years, 57.2% women). At baseline, 85 participants had dementia, and during 15 years of follow-up 821 developed dementia...
April 3, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29614682/non-genetic-risk-factors-for-degenerative-and-vascular-young-onset-dementia-results-from-the-inspired-and-kgow-studies
#7
Monica Cations, Brian Draper, Lee-Fay Low, Kylie Radford, Julian Trollor, Henry Brodaty, Perminder Sachdev, Peter Gonski, Gerald Anthony Broe, Adrienne Withall
BACKGROUND: Several brain reserve, vascular risk, and other modifiable factors have been associated with late-onset dementia, but their association with young onset dementia (YOD) has not been adequately explored. OBJECTIVE: To examine the association of cognitive reserve enhancing factors, cardiovascular risk factors (including smoking), depression, alcohol use, and traumatic brain injury (TBI) with non-autosomal dominant degenerative and/or vascular YOD. METHODS: Data for this matched case-control study were taken from two larger studies conducted in NSW, Australia...
2018: Journal of Alzheimer's Disease: JAD
https://www.readbyqxmd.com/read/29606955/an-estimate-of-attributable-cases-of-alzheimer-disease-and-vascular-dementia-due-to-modifiable-risk-factors-the-impact-of-primary-prevention-in-europe-and-in-italy
#8
Flavia Mayer, Alessandra Di Pucchio, Eleonora Lacorte, Ilaria Bacigalupo, Fabrizio Marzolini, Gianluigi Ferrante, Valentina Minardi, Maria Masocco, Marco Canevelli, Teresa Di Fiandra, Nicola Vanacore
Background: Up to 53.7% of all cases of dementia are assumed to be due to Alzheimer disease (AD), while 15.8% are considered to be due to vascular dementia (VaD). In Europe, about 3 million cases of AD could be due to 7 potentially modifiable risk factors: diabetes, midlife hypertension and/or obesity, physical inactivity, depression, smoking, and low educational level. Aims: To estimate the number of VaD cases in Europe and the number of AD and VaD cases in Italy attributable to these 7 potentially modifiable risk factors...
January 2018: Dementia and Geriatric Cognitive Disorders Extra
https://www.readbyqxmd.com/read/29603513/risk-score-prediction-model-for-dementia-in-patients-with-type-2-diabetes
#9
Chia-Ing Li, Tsai-Chung Li, Chiu-Shong Liu, Li-Na Liao, Wen-Yuan Lin, Chih-Hsueh Lin, Sing-Yu Yang, Jen-Huai Chiang, Cheng-Chieh Lin
BACKGROUND: No study established a prediction dementia model in the Asian populations. This study aims to develop a prediction model for dementia in Chinese type 2 diabetes patients. METHODS: This retrospective cohort study included 27,540 Chinese type 2 diabetes patients (aged 50-94 years) enrolled in Taiwan National Diabetes Care Management Program. Participants were randomly allocated into derivation and validation sets at 2:1 ratio. Cox proportional hazards regression models were used to identify risk factors for dementia in the derivation set...
March 30, 2018: European Journal of Neurology: the Official Journal of the European Federation of Neurological Societies
https://www.readbyqxmd.com/read/29602843/dementia-and-vagotomy-in-taiwan-a-population-based-cohort-study
#10
Shih-Yi Lin, Cheng-Li Lin, I-Kuan Wang, Cheng-Chieh Lin, Chih-Hsueh Lin, Wu-Huei Hsu, Chia-Hung Kao
OBJECTIVE: Truncal vagotomy is associated with a decreased risk of subsequent Parkinson disease (PD), although the effect of vagotomy on dementia is unclear. In response, we investigated the risk of dementia in patients who underwent vagotomy. SETTING: Population-based cohort study. PARTICIPANTS: A total of 155 944 patients who underwent vagotomy (vagotomy cohort) and 155 944 age-matched, sex-matched and comorbidity-matched controls (non-vagotomy cohort) were identified between 2000 and 2011...
March 30, 2018: BMJ Open
https://www.readbyqxmd.com/read/29601076/syncope-hypotension-and-falls-in-the-treatment-of-hypertension-results-from-the-randomized-clinical-systolic-blood-pressure-intervention-trial
#11
Kaycee M Sink, Gregory W Evans, Ronald I Shorr, Jeffrey T Bates, Dan Berlowitz, Molly B Conroy, Deborah M Felton, Tanya Gure, Karen C Johnson, Dalane Kitzman, Mary F Lyles, Karen Servilla, Mark A Supiano, Jeff Whittle, Alan Wiggers, Lawrence J Fine
OBJECTIVE: To determine predictors of serious adverse events (SAEs) involving syncope, hypotension, and falls, with particular attention to age, in the Systolic Blood Pressure Intervention Trial. DESIGN: Randomized clinical trial. SETTING: Academic and private practices across the United States (N = 102). PARTICIPANTS: Adults aged 50 and older with a systolic blood pressure (SBP) of 130 to 180 mmHg at high risk of cardiovascular disease events, but without diabetes, history of stroke, symptomatic heart failure or ejection fraction less than 35%, dementia, or standing SBP less than 110 mmHg (N = 9,361)...
March 30, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29599393/prevalence-of-stroke-risk-factors-disability-and-care-needs-in-older-adults-in-singapore-results-from-the-wise-study
#12
Wen Lin Teh, Edimansyah Abdin, Janhavi Ajit Vaingankar, Esmond Seow, Vathsala Sagayadevan, Saleha Shafie, Shazana Shahwan, Yunjue Zhang, Siow Ann Chong, Li Ling Ng, Mythily Subramaniam
OBJECTIVES: The aims of the present study were to establish the prevalence of stroke, and to explore the association between stroke prevalence and sociodemographic and health factors, disability, cognitive functioning and care needs among older adult residents in Singapore. SETTING: Data were drawn from the Well-being of the Singapore Elderly study-a cross-sectional epidemiological survey conducted from 2012 to 2013 on older adults living in Singapore. PARTICIPANTS: Participants were Singapore residents (citizens and permanent residents) 60 years and above who were living in Singapore during the survey period ...
March 28, 2018: BMJ Open
https://www.readbyqxmd.com/read/29598932/glucagon-like-peptide-1-glp-1-likes-alzheimer-s-disease
#13
REVIEW
Ilgin Yildirim Simsir, Utku Erdem Soyaltin, Sevki Cetinkalp
Glucagon-like peptide-1 (GLP-1) is a 30 amino acid long peptide hormone derived from the proglucagon gene and secreted in the distal small intestine when food enters the duodenum. GLP-1 is also produced in the central nervous system (CNS), predominantly in the brainstem, and subsequently transported to a large number of regions in the CNS. Neuronal cells in nucleus tractus solitarius (NTS) can synthesize GLP-1 and extends to hypothalamus, some thalamic and cortical areas. A G protein coupled receptor (GPCR) provides the majority of GLP-1 actions...
March 16, 2018: Diabetes & Metabolic Syndrome
https://www.readbyqxmd.com/read/29596471/predicting-dementia-from-primary-care-records-a-systematic-review-and-meta-analysis
#14
Elizabeth Ford, Nicholas Greenslade, Priya Paudyal, Stephen Bremner, Helen E Smith, Sube Banerjee, Shanu Sadhwani, Philip Rooney, Seb Oliver, Jackie Cassell
INTRODUCTION: Possible dementia is usually identified in primary care by general practitioners (GPs) who refer to specialists for diagnosis. Only two-thirds of dementia cases are currently recorded in primary care, so increasing the proportion of cases diagnosed is a strategic priority for the UK and internationally. Variables in the primary care record may indicate risk of developing dementia, and could be combined in a predictive model to help find patients who are missing a diagnosis...
2018: PloS One
https://www.readbyqxmd.com/read/29593812/the-effect-of-celastrol-on-learning-and-memory-in-diabetic-rats-after-sevoflurane-inhalation
#15
Wei-Tao Liao, Xiao-Yu Xiao, Yinaxian Zhu, Shao-Peng Zhou
Introduction: The aim was to devise an animal model showing some of the neuropathological changes seen in senile dementia, and to investigate the effect of celastrol on cognition neuropathology in this model. Material and methods: Forty male Sprague Dawley rats weighing 300-350 g were randomly divided into 5 groups ( n = 8 each): control (Con); inhaled sevoflurane (Sev); diabetes mellitus (DM); diabetes mellitus + inhaled sevoflurane (DM/Sev); diabetes + inhaled sevoflurane + celastrol (Cel)...
March 2018: Archives of Medical Science: AMS
https://www.readbyqxmd.com/read/29582896/cognitive-dysfunction-in-urban-community-dwelling-prefrail-older-subjects
#16
H Umegaki, T Makino, H Shimada, T Hayashi, X Wu Cheng, M Kuzuya
OBJECTIVES: A number of studies have reported that frailty is cross-sectionally associated with cognitive decline and is also a risk for future cognitive decline or dementia; however, there have been only a few studies that focus on the association between prefrailty and cognitive dysfunction. In the current study, we investigated the association between prefrailty and cognition. DESIGN: A cross-sectional study of the data obtained at registration in a randomized control trial...
2018: Journal of Nutrition, Health & Aging
https://www.readbyqxmd.com/read/29572520/altered-insulin-insulin-like-growth-factor-signaling-in-a-comorbid-rat-model-of-ischemia-and-%C3%AE-amyloid-toxicity
#17
Zareen Amtul, David J Hill, Edith J Arany, David F Cechetto
Ischemic stroke and diabetes are vascular risk factors for the development of impaired memory such as dementia and/or Alzheimer's disease. Clinical studies have demonstrated that minor striatal ischemic lesions in combination with β-amyloid (Aβ) load are critical in generating cognitive deficits. These cognitive deficits are likely to be associated with impaired insulin signaling. In this study, we examined the histological presence of insulin-like growth factor-I (IGF-1) and insulin receptor substrate (IRS-1) in anatomically distinct brain circuits compared with morphological brain damage in a co-morbid rat model of striatal ischemia (ET1) and Aβ toxicity...
March 23, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29566918/causes-pathophysiology-and-treatment-of-pruritus-in-the-mature-patient
#18
Alina Shevchenko, Rodrigo Valdes-Rodriguez, Gil Yosipovitch
Chronic itch is a common and debilitating health condition in the elderly. There are several common causes of itch in the mature population, such as skin xerosis, immunosenescence, and neuropathic changes. In addition, skin diseases, such as seborrheic dermatitis and stasis dermatitis, systemic conditions (end-stage renal disease and diabetes), or psychogenic derailments, such as depression, anxiety, and dementia, can all serve as triggers of pruritus. Polypharmacy, a common occurrence among the elderly population, may also serve as a cause of itch that may or may not be accompanied by dermatitis...
March 2018: Clinics in Dermatology
https://www.readbyqxmd.com/read/29555333/nutritional-patterns-associated-with-the-maintenance-of-neurocognitive-functions-and-the-risk-of-dementia-and-alzheimer-s-disease-a-focus-on-human-studies
#19
REVIEW
Francesca Pistollato, Ruben Calderón Iglesias, Roberto Ruiz, Silvia Aparicio, Jorge Crespo, Luis Dzul Lopez, Piera Pia Manna, Francesca Giampieri, Maurizio Battino
Ample epidemiological evidence suggests a strong correlation among diet, lifestyle factors and the onset and consolidation of dementia and Alzheimer's disease (AD). It has been demonstrated that AD, diabetes, obesity, insulin resistance, and cardiovascular disease are strongly interconnected pathologies. Preventive strategies and nutritional interventions seem to be promising approaches to delay neurocognitive decline and reduce the risk of AD and other non-psychiatric co-morbidities. In this regard, healthy dietary patterns, characterized by high intake of plant-based foods, probiotics, antioxidants, soy beans, nuts, and omega-3 polyunsaturated fatty acids, and a low intake of saturated fats, animal-derived proteins, and refined sugars, have been shown to decrease the risk of neurocognitive impairments and eventually the onset of AD...
March 16, 2018: Pharmacological Research: the Official Journal of the Italian Pharmacological Society
https://www.readbyqxmd.com/read/29554592/substance-use-disorders-and-medical-comorbidities-among-high-need-high-risk-patients-with-diabetes
#20
Li-Tzy Wu, Udi E Ghitza, He Zhu, Susan Spratt, Marvin Swartz, Paolo Mannelli
BACKGROUND: The majority of the U.S. healthcare resources are utilized by a small population characterized as high-risk, high-need persons with complex care needs (e.g., adults with multiple chronic conditions). Substance use disorders (SUDs) and mental health disorders (MHDs) are a driver of poor health and additional healthcare costs, but they are understudied among high-need patients. OBJECTIVE: We examine the prevalence and correlates of SUDs and MHDs among adults with high-risk diabetes, who are patients at the top 10% risk score for developing poor outcomes (hospital admission or death)...
March 3, 2018: Drug and Alcohol Dependence
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