Publications by authors named "Katherine Rankin"

Article Synopsis
  • Poor affect recognition is an early indicator of frontotemporal dementia (FTD), and this study used the Comprehensive Affect Testing System (CATS-A) to assess emotional dysfunction in FTD patients compared to healthy controls.
  • The study involved 139 FTD patients of various subtypes and tested them alongside 116 healthy controls, measuring their Affective Recognition Quotient (ARQ) to evaluate emotional recognition accuracy.
  • Results showed that the CATS-A effectively differentiated between FTD patients and healthy controls with high accuracy (AUC 0.89) and had robust internal reliability, suggesting it's a valuable clinical tool for assessing emotional dysfunction in FTD.
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  • Machine learning algorithms show great potential for classifying various neurodegenerative diseases but often misclassify cases due to insufficient understanding of the underlying factors.* -
  • A study involving 468 participants used a multi-class classification approach on MRI scans and achieved a 71% accuracy in diagnosing specific syndromes and 85% in distinguishing healthy controls from dementia.* -
  • Most misclassifications occurred in cases with minimal brain atrophy, particularly in early-onset Alzheimer's and certain types of frontotemporal dementia, highlighting the challenges posed by the heterogeneity of these diseases.*
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  • Moral decisions often involve tough choices where sometimes helping many people means harming a few.
  • Most research shows that being utilitarian (choosing the most good for the most people) can mean being less sensitive to others' feelings.
  • A study of a person with a brain issue showed they still made selfless choices that helped others, suggesting not everyone with this condition is unfriendly.
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  • The study aimed to assess the clinical usability of the Comprehensive Affect Testing System (CATS) in recognizing emotional responses in Italian ALS patients.
  • A total of 96 ALS patients and 116 healthy controls participated in neuropsychological assessments, revealing that the CATS-A measures demonstrated good diagnostic accuracy for distinguishing between ALS patients with cognitive impairments and those without.
  • The findings suggested that CATS-A ARQ is an effective tool for identifying affect recognition deficits in ALS, which could indicate frontotemporal brain involvement in these patients.
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Introduction: Despite significant progress over past decades, neonatal and infant morbidity and mortality remain unacceptably high in Ethiopia. Simple interventions have been shown to improve the health of children and reduce mortality. These include promotion of exclusive breast feeding for the first 6 months of life, immunisation and utilisation of available newborn healthcare services, which are proven to improve newborn survival.

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  • The paper addresses cognitive impairment and dementia under-recognition, emphasizing the need for primary care interventions like the TabCAT-BHA to enhance diagnosis.
  • The study employs a mixed-methods design in 26 Kaiser Permanente clinics to evaluate the effectiveness of the intervention in improving cognitive impairment detection among older patients.
  • Key outcomes focus on diagnosis rates, standardized assessments, and the implementation's acceptability and feasibility based on insights from healthcare leaders.
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  • Diminished activity in the parasympathetic nervous system, particularly baseline respiratory sinus arrhythmia, is linked to empathy issues in individuals with frontotemporal dementia (FTD), especially those with left frontoinsula dysfunction.
  • In a study involving 102 participants, including asymptomatic and symptomatic carriers of the C9orf72 gene mutation, researchers found that those with symptomatic FTD exhibited significantly lower respiratory sinus arrhythmia compared to other groups, indicating disrupted parasympathetic activity.
  • Results showed a correlation between lower respiratory sinus arrhythmia and greater behavioral symptom severity as well as reduced empathic concern, suggesting that parasympathetic deficits might play a role in the progression of FTD.
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  • Itching is common in older adults and may indicate neurodegenerative diseases like frontotemporal lobar degeneration (FTLD-SD) and Alzheimer's disease (AD), as certain brain areas associated with itch sensations could be affected by these conditions.
  • A study compared the incidence of itching in patients with FTLD-SD and AD, using brain MRIs and medical records from a research project at UCSF over a period of nearly 20 years.
  • Results showed that itching was more prevalent in FTLD-SD patients (38%) compared to those with AD (18%), suggesting a possible link between unexplained itching and neurodegenerative processes, particularly in those with behavioral variant frontotemporal dementia.
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  • People with dementia often lack awareness of their social functioning abilities, which can lead to negative outcomes for both them and their caregivers.
  • This study examined how this awareness relates to the severity of dementia in individuals over 65 from Germany, Japan, and the UK using the Social Functioning in Dementia scale.
  • Findings showed that while patients and caregivers agreed on some aspects of social functioning, patients tended to overestimate their communication and sensitivity skills compared to their caregivers, highlighting the need for better understanding and support for families.
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  • A multicenter study involving 18 centers in 12 countries examined 360 patients with frontotemporal dementia (FTD) characterized by right anterior temporal lobe (RATL) atrophy to create a unified clinical description of the syndrome.
  • Key symptoms identified in patients included mental rigidity (78%), disinhibition (74%), and naming difficulties (70%), with cognitive tests revealing specific deficits in social interactions and emotional recognition, though lacking in measuring mental rigidity.
  • The findings represent the largest cohort of its kind, highlighting under-acknowledged symptoms of RATL and providing valuable insights for clinicians to improve early diagnosis and management of FTD patients.
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Background: Frontotemporal lobar degeneration (FTLD) is a leading cause of dementia in individuals aged <65 years. Several challenges to conducting in-person evaluations in FTLD illustrate an urgent need to develop remote, accessible, and low-burden assessment techniques. Studies of unobtrusive monitoring of at-home computer use in older adults with mild cognitive impairment show that declining function is reflected in reduced computer use; however, associations with smartphone use are unknown.

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While animal models of Alzheimer's disease (AD) have shown altered gamma oscillations (∼40 Hz) in local neural circuits, the low signal-to-noise ratio of gamma in the resting human brain precludes its quantification via conventional spectral estimates. Phase-amplitude coupling (PAC) indicating the dynamic integration between the gamma amplitude and the phase of low-frequency (4-12 Hz) oscillations is a useful alternative to capture local gamma activity. In addition, PAC is also an index of neuronal excitability as the phase of low-frequency oscillations that modulate gamma amplitude, effectively regulates the excitability of local neuronal firing.

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  • Frontotemporal lobar degeneration (FTLD) is a rare condition characterized by behavioral and motor symptoms, making traditional neuropsychological assessments less effective for early detection; smartphone-based cognitive tests may provide a solution for remote evaluations.
  • A study conducted over four years involved 360 participants with varying stages of FTLD using smartphone apps to assess cognitive function, splitting them into discovery and validation groups, with a majority being asymptomatic or at preclinical stages.
  • Results indicate the smartphone-based tests showed moderate to excellent reliability in measuring cognitive function, suggesting they could serve as valid tools for remote assessments in FTLD patients.
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Alzheimer's disease (AD) is characterized by the accumulation of amyloid-β and misfolded tau proteins causing synaptic dysfunction, and progressive neurodegeneration and cognitive decline. Altered neural oscillations have been consistently demonstrated in AD. However, the trajectories of abnormal neural oscillations in AD progression and their relationship to neurodegeneration and cognitive decline are unknown.

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Background: Alzheimer's disease (AD) is the most common form of dementia, progressively impairing cognitive abilities. While neuroimaging studies have revealed functional abnormalities in AD, how these relate to aberrant neuronal circuit mechanisms remains unclear. Using magnetoencephalography imaging we documented abnormal local neural synchrony patterns in patients with AD.

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Background: People living with multiple sclerosis (MS) face a higher likelihood of being diagnosed with a depressive disorder than the general population. Although many low-cost screening tools and evidence-based interventions exist, depression in people living with MS is underreported, underascertained by clinicians, and undertreated.

Objective: This study aims to design a closed-loop tool to improve depression care for these patients.

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Identification of Alzheimer's disease (AD) onset risk can facilitate interventions before irreversible disease progression. We demonstrate that electronic health records from the University of California, San Francisco, followed by knowledge networks (for example, SPOKE) allow for (1) prediction of AD onset and (2) prioritization of biological hypotheses, and (3) contextualization of sex dimorphism. We trained random forest models and predicted AD onset on a cohort of 749 individuals with AD and 250,545 controls with a mean area under the receiver operating characteristic of 0.

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Introduction: Progressive supranuclear palsy (PSP) and corticobasal degeneration (CBD), are the most common four-repeat tauopathies (4RT), and both frequently occur with varying degree of Alzheimer's disease (AD) copathology. Intriguingly, patients with 4RT and patients with AD are at opposite ends of the wakefulness spectrum-AD showing reduced wakefulness and excessive sleepiness whereas 4RT showing decreased homeostatic sleep. The neural mechanisms underlying these distinct phenotypes in the comorbid condition of 4RT and AD are unknown.

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Background: Falls are common in people with multiple sclerosis (MS), causing injuries, fear of falling, and loss of independence. Although targeted interventions (physical therapy) can help, patients underreport and clinicians undertreat this issue. Patient-generated data, combined with clinical data, can support the prediction of falls and lead to timely intervention (including referral to specialized physical therapy).

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Article Synopsis
  • The study investigates cerebellar atrophy linked to different subtypes of Alzheimer's disease and related dementias (ADRD), revealing specific patterns of brain tissue loss in these conditions.
  • It involved a comparison of cerebellar gray matter volume in 309 ADRD autopsy cases and 80 healthy controls using advanced imaging techniques.
  • The findings highlight that cerebellar atrophy occurs early in the disease and suggests that cerebellar imaging could serve as a useful tool for diagnosing and monitoring ADRD.
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  • - The study examines the relationship between brain atrophy and functional connectivity in Alzheimer's disease (AD) and frontotemporal dementia (FTD) using MRI data from 221 patients and 100 healthy individuals.
  • - Three main structure-function components were identified: overall atrophy related to general hypo- and hyper-connectivity, and syndrome-specific atrophy linked to connectivity changes around brain lesions.
  • - The findings suggest that changes in brain connectivity are tied to cognitive deficits, with specific alterations in brain activity patterns that might explain the observed atrophy-driven connectivity issues.
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Introduction: Cognition often remains unassessed in primary care. To improve early diagnosis of neurocognitive disorder (NCD) in Switzerland, the tablet-based UCSF brain health assessment (BHA) and brain health survey (BHS) were validated.

Methods: The German BHA, BHS, and Montreal Cognitive Assessment (MoCA) were administered to 67 patients with mild/major NCD and 50 controls.

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Introduction: Child mortality rates remain high in sub-Saharan Africa, including Ethiopia. We are conducting a cluster randomised control trial in the Gondar zone of the Amhara region to determine the impact of pairing Orthodox priests with community health workers, known locally as the Health Development Army (HDA), on newborns' nutritional status, early illness identification and treatment, and vaccination completeness.Ensuring intervention efficacy with scientific rigour is essential, but there are often delays in adopting evidence into policy and programmes.

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  • The study explores the impact of Primary Progressive Aphasia (PPA) variants—nonfluent/agrammatic (nfvPPA), logopenic (lvPPA), and semantic (svPPA)—on non-verbal cognitive abilities, specifically processing speed, using a non-verbal task called Match.
  • Results show that lvPPA and nfvPPA patients performed worse on the task compared to healthy controls and svPPA patients.
  • Neuroimaging revealed that poorer task performance correlated with reduced gray and white matter volumes in key brain regions associated with processing speed and executive control.
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The desire for novelty and variety in experiences, which may manifest in an inclination to engage with individuals from a diverse range of cultural backgrounds, collectively constitutes the personality dimension known as "Openness to Experience." Empirical research has identified a positive correlation between trait openness and various expressions of creativity, such as divergent ideation, innovative problem-solving strategies, and cumulative creative accomplishments. This nexus between openness to interpersonal diversity, as an aspect of the larger personality trait of openness, and creativity has precipitated considerable scholarly interest across the disciplines of personality, social and organizational psychology, and neuroscientific investigation.

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