Publications by authors named "J R Galvin"

Background: An easy and reliable method for detection of Alzheimer's Disease (AD) and mild cognitive impairment (MCI) is critical for clinical trial enrollment. In the era of amyloid-lowering therapies, there is a need to identify individuals likely to have amyloid to enrich recruitment and lower costs related to amyloid PET. In addition, a subset of cognitively normal individuals have amyloid deposition (Preclinical AD) but to date there is no cognitive assessment or screening method that can detect these individuals in the absence of expensive biomarkers.

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Background: Studies are limited regarding the role of intersectional social determinants of health in asymptomatic Alzheimer's disease neuropathology (ADNP).

Method: We analyzed data on 3,107 participants in the National Alzheimer's Coordinating Center's Neuropathology Dataset who had a visit ≤24 months before autopsy and confirmed ADNP (moderate to frequent neuritic plaques and Braak Stage III-VI). Groups were defined based on the presence (symptomatic ADNP, n = 2,956) or absence (asymptomatic ADNP, n = 151) of an MCI/dementia diagnosis at the final visit before death.

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Introduction: The Clinical Dementia Rating (CDR) Scale is a gold standard for staging impairment in Alzheimer's disease and other dementias (ADRD). The Quick Dementia Rating System (QDRS) offers similar results in 3 to 5 minutes without a trained clinician. This study aimed to (1) investigate concordance between comparably derived QDRS and CDR global scores, (2) examine item-level QDRS/CDR agreement, and (3) compare sample characteristics and cognitive performance across QDRS/CDR global concordant/discordant groups.

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Article Synopsis
  • Cognitive resilience (CR) plays a crucial role in determining the risk and progression of Alzheimer's disease (AD), influenced by lifestyle factors rather than just genetics.
  • The study identified specific DNA methylation changes linked to a Resilience Index (RI) based on lifestyle factors, revealing connections to pathways involved in lipid metabolism, synaptic plasticity, and neuroinflammation.
  • A new Methylation-based Resilience Score (MRS) was developed, successfully predicting future cognitive decline, suggesting that DNA methylation could serve as a potential predictive marker for AD and guiding future research.
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» Suture button fixation has emerged as an effective surgical construct in arthroscopic and open Latarjet and anterior glenoid reconstruction with free autograft bone with high rates of bone block healing.» Biomechanical data suggest that screw and suture button mechanical fixation constructs provide similar load to failure and stability for the Latarjet procedure.» Preliminary bone healing models have identified that flexible fixation may exhibit a higher degree of bone callus maturation, whereas rigid fixation results in excessive callus hyperplasia» Mechanical tensioner use provides consistent tensioning of suture button constructs and improves bone-to-bone healing rates when used for anterior glenoid reconstruction surgery.

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