Novel Objective Tool to Assess Tremor Reveals Unilateral Focused Ultrasound Improves Tremor Bilaterally.

Background: Tremor in essential tremor and in tremor-dominant Parkinson's disease is assessed by subjective observations in patients undergoing focused ultrasound thalamotomy, a minimally invasive procedure intended to alleviate tremor in these patients.

Objective: To develop an objective tool for tremor analysis to be used before and after focused ultrasound thalamotomy treatment in the treated hand (contralateral to ablation) and non-treated (ipsilateral to ablation).

Methods: Using image processing and signal processing that utilized images of a Archimedes spiral drawing, we created a tool to analyze tremor.

Focused Ultrasound Thalamotomy for Tremor Relief in Atypical Parkisnsonism.

Background: Magnetic resonance imaging (MRI)-guided focused ultrasound (FUS) VIM-thalamotomy has established efficacy and safety in tremor relief in patients with essential tremor and Parkinson's disease. The efficacy and safety in patients with atypical parkinsonism have not been reported.

Objective: To report on the efficacy and safety of FUS VIM-thalamotomy in 8 patients with parkinsonism, multiple system atrophy-Parkinsonian type (MSA-P) ( = 5), and dementia with Lewy bodies (DLB) ( = 3).

Association of health behaviors with function and health-related quality of life among patients with Parkinson's disease.

Background: Current evidence on chronic conditions favors promotion of health behaviors as a mean to positively impact health outcomes. In Parkinson's disease, performing health behaviors is indicated as a means to fight the long-lasting burden of the disease. Understanding actual engagement in health behaviors and patient activation and their association to function and health-related quality of life is therefore important.

Socio-Clinical factors associated with Parkinson's disease-related specific self-management behaviours.

Objective: To test associations between socio-clinical factors, self-management and patient activation among patients with Parkinson's disease (PD), and to explore the use of regression tree to find the cut-off levels of socio-clinical factors which associate with lower or higher self-management behaviours and patient's activation.

Methods: A cross-sectional study of patients with PD ( = 62) who underwent assessment of their socio-clinical factors including age, gender, cognitive status, comorbidities, disease severity (motor and non-motor symptoms) and social support. The associations of these factors to specific aspects of self-management behaviours including utilization of rehabilitative treatments, physical activity and patient activation were tested.

Trial of Globus Pallidus Focused Ultrasound Ablation in Parkinson's Disease.

Background: Unilateral focused ultrasound ablation of the internal segment of globus pallidus has reduced motor symptoms of Parkinson's disease in open-label studies.

Methods: We randomly assigned, in a 3:1 ratio, patients with Parkinson's disease and dyskinesias or motor fluctuations and motor impairment in the off-medication state to undergo either focused ultrasound ablation opposite the most symptomatic side of the body or a sham procedure. The primary outcome was a response at 3 months, defined as a decrease of at least 3 points from baseline either in the score on the Movement Disorders Society-Unified Parkinson's Disease Rating Scale, part III (MDS-UPDRS III), for the treated side in the off-medication state or in the score on the Unified Dyskinesia Rating Scale (UDysRS) in the on-medication state.

Mechanism of Ultrafast Triplet Exciton Formation in Single Cocrystals of π-Stacked Electron Donors and Acceptors.

Ultrafast triplet formation in donor-acceptor (D-A) systems typically occurs by spin-orbit charge-transfer intersystem crossing (SOCT-ISC), which requires a significant orbital angular momentum change and is thus usually observed when the adjacent π systems of D and A are orthogonal; however, the results presented here show that subnanosecond triplet formation occurs in a series of D-A cocrystals that form one-dimensional cofacial π stacks. Using ultrafast transient absorption microscopy, photoexcitation of D-A single cocrystals, where D is coronene (Cor) or pyrene (Pyr) and A is ,-bis(3'-pentyl)-perylene-3,4:9,10-bis(dicarboximide) (CPDI) or naphthalene-1,4:5,8-tetracarboxydianhydride (NDA), results in formation of the charge transfer (CT) excitons Cor-CPDI, Pyr-CPDI, Cor-NDA, and Pyr-NDA in <300 fs, while triplet exciton formation occurs in τ = 125, 106, 484, and 958 ps, respectively. TDDFT calculations show that the SOCT-ISC rates correlate with charge delocalization in the CT exciton state.

Focused Ultrasound Thalamotomy in Tremor Dominant Parkinson's Disease: Long-Term Results.

Background: MRI-guided focused ultrasound (FUS) has established short-term efficacy in tremor relief.

Objective: We report our long-term experience of treating tremor with unilateral FUS unilateral VIM-thalamotomy in tremor dominant Parkinson's disease (TDPD) patients.

Methods: We report outcome of FUS thalamotomy in TDPD patients with 1-5 years of follow-up.

Charge-transfer biexciton annihilation in a donor-acceptor co-crystal yields high-energy long-lived charge carriers.

Organic donor-acceptor (D-A) co-crystals have attracted much interest due to their important optical and electronic properties. Co-crystals having ⋯DADA⋯ π-stacked morphologies are especially interesting because photoexcitation produces a charge-transfer (CT) exciton, D˙-A˙, between adjacent D-A molecules. Although several studies have reported on the steady-state optical properties of this type of CT exciton, very few have measured the dynamics of its formation and decay in a single D-A co-crystal.

Photon Upconversion in a Glowing Metal-Organic Framework.

The interaction of low-energy light with matter that leads to the production of high-energy light is known as photon upconversion. This phenomenon is of importance because of its potential applications in optoelectronics, energy harvesting, and the biomedical arena. Herein, we report a pillared-paddlewheel metal-organic framework (MOF), constructed from a tetrakis(4-carboxyphenyl)porphyrin sensitizer and a dipyridyl thiazolothiazole annihilator, designed for efficient triplet-triplet annihilation upconversion (TTA-UC).

Symmetry-Breaking Charge Separation in the Solid State: Tetra(phenoxy)perylenediimide Polycrystalline Films.

Generation of electron-hole pairs via symmetry-breaking charge separation (SB-CS) in photoexcited assemblies of organic chromophores is a potentially important route to enhancing the open-circuit voltage of organic photovoltaics. While most reports of SB-CS have focused on molecular dimers in solution where the environmental polarity can be manipulated, here, we investigate SB-CS in polycrystalline thin films of 1,6,7,12-tetra(phenoxy)perylene-3,4:9,10-bis(dicarboximide) having either n-octyl groups (octyl-tpPDI) or hydrogen atoms (H-tpPDI) attached to its imide nitrogen atoms. Structural analyses using various X-ray techniques reveal that while both compounds show π-π stacking in thin films, H-tpPDI is more slip-stacked than octyl-tpPDI and has intermolecular hydrogen bonds to its neighboring molecules.

Tremor Relief and Structural Integrity after MRI-guided Focused US Thalamotomy in Tremor Disorders.

Background MRI-guided focused US thalamotomy of ventral intermediate nucleus of the thalamus is a treatment for tremor disorders. Purpose To evaluate white matter integrity before and after thalamotomy and its correlation with clinical outcome. Materials and Methods Participants with essential tremor (ET) or Parkinson disease (PD) undergoing thalamotomy were prospectively recruited between March 2016 and October 2018.

Magnetic resonance-guided focused ultrasound thalamotomy for essential tremor: a 5-year single-center experience.

Objective: The authors report their experience in treating patients suffering from medication-resistant essential tremor (ET) with MR-guided focused ultrasound (MRgFUS) thalamotomy over a 5-year period.

Methods: Forty-four ET patients treated with unilateral MRgFUS ventral intermediate nucleus (VIM) thalamotomy were assessed using the Clinical Rating Scale for Tremor (CRST) score and the Quality of Life in Essential Tremor Questionnaire (QUEST) over a 5-year span.

Results: Tremor was significantly improved immediately following MRgFUS in all patients and ceased completely in 24 patients.

The Role of the Anesthesiologist during Magnetic Resonance-Guided Focused Ultrasound Thalamotomy for Tremor: A Single-Center Experience.

Ablative incisionless neurosurgery has become possible through advances in focused ultrasound and magnetic resonance imaging (MRI). The great advantage of MRI-guided focused ultrasound (MRgFUS) is that the ablation is performed through an intact skull without surgery. Here, we review the new modality of MRgFUS for treating tremor and enlighten the role of the anesthesiologist in the unique procedural setting of the MRI suite.

Three-Dimensional Characterization of Layers of Condensed Gas Molecules Forming Universally on Hydrophobic Surfaces.

Understanding the solvation layer of hydrophobic surfaces is essential for elucidating the interaction between hydrophobic surfaces in aqueous solutions. Despite their importance, little is known on these layers due to the lack of lateral resolution in spectroscopic or scattering experiments and probe instability in the static scanning probe methods used in most experiments. Using a high-resolution FM-AFM with stiff cantilevers and hydrophilic tips, we overcome this instability to provide the first detailed 3d maps of the solvation/hydration layer of two archetypal hydrophobic surfaces: graphite (HOPG) and self-assembled fluoro-alkane monolayer (FDTS).

An updated diagnostic approach to subtype definition of vascular parkinsonism - Recommendations from an expert working group.

This expert working group report proposes an updated approach to subtype definition of vascular parkinsonism (VaP) based on a review of the existing literature. The persistent lack of consensus on clear terminology and inconsistent conceptual definition of VaP formed the impetus for the current expert recommendation report. The updated diagnostic approach intends to provide a comprehensive tool for clinical practice.

Vib-bracelet: a passive absorber for attenuating forearm tremor.

Tremor is a rhythmic, involuntary, oscillatory movement of a limb produced by alternating contractions of reciprocally innervated muscles. More than 4% of the population over 40 years old suffer from tremor. There is no cure for most tremors, and while psychological therapy is sometimes helpful, tremors are usually treated with either medication or invasive surgery including thalamotomy and deep brain stimulation.

Regulation of Surface Charge by Biological Osmolytes.

Osmolytes, small molecules synthesized by all organisms, play a crucial role in tuning protein stability and function under variable external conditions. Despite their electrical neutrality, osmolyte action is entwined with that of cellular salts and protons in a mechanism only partially understood. To elucidate this mechanism, we utilize an ultrahigh-resolution frequency modulation-AFM for measuring the effect of two biological osmolytes, urea and glycerol, on the surface charge of silica, an archetype protic surface with a pK value similar to that of acidic amino acids.

MRI-Guided Focused Ultrasound in Parkinson's Disease: A Review.

MRI-guided focused ultrasound is a new technology that enables intracranial ablation. Since lesioning ameliorates some of the symptoms of PD, this technology is being explored as a possible treatment for medication resistant symptoms in PD patients. The purpose of this paper is to review the clinical use and treatment outcomes of PD patients treated to date with this technology.

Magnetic resonance-guided focused ultrasound thalamotomy for tremor: a report of 30 Parkinson's disease and essential tremor cases.

OBJECTIVE Thalamotomy of the ventral intermediate nucleus (VIM) is effective in alleviating medication-resistant tremor in patients with essential tremor (ET) and Parkinson's disease (PD). MR-guided focused ultrasound (MRgFUS) is an innovative technology that enables noninvasive thalamotomy via thermal ablation. METHODS Patients with severe medication-resistant tremor underwent unilateral VIM thalamotomy using MRgFUS.