Publications by authors named "David Burn"

Article Synopsis
  • A study compared appetite regulation among Parkinson's Disease (PD) patients with cognitive impairment (CI), PD patients without CI, and age-matched controls to understand how these factors influence appetite.
  • Results showed that PD patients with CI consumed significantly less protein and had altered hormone levels, which were linked to decreased hunger and energy intake.
  • The hormones peptide YY (PYY) and glucagon-like peptide 1 (GLP-1) play key roles in appetite control for PD patients, suggesting they are important areas for further research.
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  • * A study involving 6,766 PD patients over several years examined how genetic factors influence motor progression and mortality, revealing the APOE ε4 allele as significantly impacting mortality rates.
  • * Four new genetic loci were identified, linked to motor progression, suggesting potential targets for future treatment strategies in PD, although further investigation is necessary to understand their biological implications.
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Calculations and measurements of polarization-dependent soft X-ray scattering intensity are presented during a magnetic hysteresis cycle. It is confirmed that the dependence of the intensity on the magnetic moment can be linear, quadratic or a combination of both, depending on the polarization of the incident X-ray beam and the direction of the magnetic moment. With a linearly polarized beam, the scattered intensity will have a purely quadratic dependence on the magnetic moment when the magnetic moment is parallel to the scattering plane.

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  • Delirium prevalence in hospitalized patients with Parkinson's disease (PD) is notably high, with 66.9% of PD participants diagnosed compared to 38.7% of older adults without PD.
  • Delirium in PD patients is linked to significantly worse outcomes, including a 3.3 times higher risk of mortality and a 10.7 times increased likelihood of institutionalization 12 months post-discharge.
  • Both PD participants and control groups showed increased risk of developing dementia after experiencing delirium, indicating a critical need for better management and prevention strategies for delirium in PD patients.
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Functional mitral regurgitation (FMR) is associated with increased mortality and has been considered a marker for advanced heart disease, yet the value of mitral valve repair (MVr) in this population remains unclear. This study aims to evaluate the impact of reducing FMR burden through surgical MVr on survival. Patients with severe FMR who underwent MVr with an undersized, complete, rigid, annuloplasty between 2004 and 2017 were assessed (n = 201).

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Introduction: Neuropsychiatric symptoms (NPS) in Lewy body dementias (LBD) occur frequently and early in disease progression. Such symptoms are associated with worse quality of life, caregiver burden and functional limitations. Limited evidence exists, however, outlining the longitudinal relationship between NPS and cognitive decline in prodromal LBD.

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There is a pressing need to understand the factors that predict prognosis in progressive supranuclear palsy (PSP) and corticobasal syndrome (CBS), with high heterogeneity over the poor average survival. We test the hypothesis that the magnitude and distribution of connectivity changes in PSP and CBS predict the rate of progression and survival time, using datasets from the Cambridge Centre for Parkinson-plus and the UK National PSP Research Network (PROSPECT-MR). Resting-state functional MRI images were available from 146 participants with PSP, 82 participants with CBS, and 90 healthy controls.

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The advent of clinical trials of disease-modifying agents for neurodegenerative disease highlights the need for evidence-based end point selection. Here we report the longitudinal PROSPECT-M-UK study of progressive supranuclear palsy (PSP), corticobasal syndrome (CBS), multiple system atrophy (MSA) and related disorders, to compare candidate clinical trial end points. In this multicentre UK study, participants were assessed with serial questionnaires, motor examination, neuropsychiatric and MRI assessments at baseline, 6 and 12 months.

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The topological surface states (TSSs) in topological insulators (TIs) offer exciting prospects for dissipationless spin transport. Common spin-based devices, such as spin valves, rely on trilayer structures in which a non-magnetic layer is sandwiched between two ferromagnetic (FM) layers. The major disadvantage of using high-quality single-crystalline TI films in this context is that a single pair of spin-momentum locked channels spans across the entire film, meaning that only a very small spin current can be pumped from one FM to the other, along the side walls of the film.

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Article Synopsis
  • The study addresses the challenges in characterizing small nanostructures, specifically ferroelectric and ferromagnetic skyrmions, due to their complex three-dimensional structures.
  • Resonant elastic x-ray scattering (REXS) has been identified as a promising technique for investigating these nanostructures, particularly for studying the chirality of spin textures.
  • The research introduces a modeling framework for applying REXS to charge quadrupole moments in ferroelectrics, demonstrating its effectiveness in analyzing the coexistence and structure of polar skyrmions with mixed chirality.
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Disease-modifying treatments are currently being trialled in multiple system atrophy. Approaches based solely on clinical measures are challenged by heterogeneity of phenotype and pathogenic complexity. Neurofilament light chain protein has been explored as a reliable biomarker in several neurodegenerative disorders but data on multiple system atrophy have been limited.

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  • The study aimed to evaluate how well symptoms and diagnoses of delirium in Parkinson's disease patients were recorded in medical notes during hospital stays.
  • Out of 44 participants, 30 cases of delirium (56.6%) were identified, with symptoms documented in 72.3% of cases but only 37.9% had a delirium diagnosis noted.
  • The findings indicate a significant gap in documentation, especially for hypoactive delirium, and emphasize the need for improved education on recognizing and diagnosing delirium in Parkinson's disease patients.
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Objectives: To explore the genetics of four Parkinson's disease (PD) subtypes that have been previously described in two large cohorts of patients with recently diagnosed PD. These subtypes came from a data-driven cluster analysis of phenotypic variables.

Methods: We looked at the frequency of genetic mutations in glucocerebrosidase (GBA) and leucine-rich repeat kinase 2 against our subtypes.

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Background: The criteria for PD-MCI allow the use of global cognitive tests. Their predictive value for conversion from PD-MCI to PDD, especially compared to comprehensive neuropsychological assessment, is unknown.

Methods: The MDS PD-MCI Study Group combined four datasets containing global cognitive tests as well as a comprehensive neuropsychological assessment to define PD-MCI (n = 467).

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Free-water imaging can predict and monitor dopamine system degeneration in people with Parkinson's disease. It can also enhance the sensitivity of traditional diffusion tensor imaging (DTI) metrics for indexing neurodegeneration. However, these tools are yet to be applied to investigate cholinergic system degeneration in Parkinson's disease, which involves both the pedunculopontine nucleus and cholinergic basal forebrain.

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Article Synopsis
  • Resonant elastic X-ray scattering (REXS) is a powerful technique that combines the spatial resolution of diffraction with electronic information, enabling detailed studies of solid-state systems and their magnetic, charge, spin, and orbital properties.
  • A new application of REXS focuses on understanding the chiral structure of electric polarization in ferroelectric oxide superlattices, specifically analyzing the polarization vectors through an anisotropic tensor related to the quadrupole moment.
  • The authors present a thorough theoretical framework to interpret experimental results from Ti L-edge REXS of a polar vortex array in a PbTiO/SrTiO superlattice, suggesting that REXS can be a valuable tool for exploring both electric and magnetic properties of ch
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Non-collinear spin textures in ferromagnetic ultrathin films are attracting a renewed interest fueled by possible fine engineering of several magnetic interactions, notably the interfacial Dzyaloshinskii-Moriya interaction. This allows for the stabilization of complex chiral spin textures such as chiral magnetic domain walls (DWs), spin spirals, and magnetic skyrmions among others. We report here on the behavior of chiral DWs at ultrashort timescale after optical pumping in perpendicularly magnetized asymmetric multilayers.

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Background: Gait impairments are characteristic motor manifestations and significant predictors of poor quality of life in Parkinson's disease (PD). Neuroimaging biomarkers for gait impairments in PD could facilitate effective interventions to improve these symptoms and are highly warranted.

Objective: The aim of this study was to identify neural networks of discrete gait impairments in PD.

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Background: Clinical diagnosis and monitoring of Parkinson's disease (PD) remain challenging because of the lack of an established biomarker. Neuromelanin-magnetic resonance imaging (NM-MRI) is an emerging biomarker of nigral depigmentation indexing the loss of melanized neurons but has unknown prospective diagnostic and tracking performance in multicenter settings.

Objectives: The aim was to investigate the diagnostic accuracy of NM-MRI in early PD in a multiprotocol setting and to determine and compare serial NM-MRI changes in PD and controls.

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Participating in habitual physical activity (HPA) may slow onset of dependency and disability for people with Parkinson's disease (PwP). While cognitive and physical determinants of HPA are well understood, psychosocial influences are not. This pilot study aimed to identify psychosocial factors associated with HPA to guide future intervention development.

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Background: Delirium is a serious acute neuropsychiatric condition associated with altered attention and arousal.

Objective: To evaluate simple bedside tests for attention and arousal to detect delirium in those with and without Parkinson's disease (PD) and dementia.

Methods: Participants from two prospective delirium studies were pooled comprising 30 with PD without cognitive impairment, 24 with Lewy body cognitive impairment (PD dementia or dementia with Lewy bodies), 16 with another dementia and 179 PD and dementia-free older adults.

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All-optical switching of magnetization has great potential for use in future ultrafast and energy efficient nanoscale magnetic storage devices. So far, research has been almost exclusively focused on rare-earth based materials, which limits device tunability and scalability. Here, we show that a perpendicularly magnetized synthetic ferrimagnet composed of two distinct transition metal ferromagnetic layers, NiPt and Co, can exhibit helicity independent magnetization switching.

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