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, Fe3+ , Al3+ , Ag+ , Hg2+ , Cu2+ , Pd2+ , Zn2+ , Cr3+ , Cd2+ , Mn2+ , Ca2+ , and K+ and anions such as F- , CN- and PPi, from 2008 to 2020, because of their sensitivity and selectivity in terms of diverse colour changes for different species. This critical and comprehensive review might facilitate the improvement of more prevailing chemosensors for future exciting and broad applications.

Idiopathic normal pressure hydrocephalus can present with parkinsonism. Cabotegravir However, abnormalities of the striatal dopamine reuptake transporter are unclear.

To explore presence and features of striatal dopaminergic deficit in subjects with idiopathic normal pressure hydrocephalus as compared to Parkinson's disease (PD) patients and healthy controls.

We investigated 50 subjects with idiopathic normal pressure hydrocephalus, 25 with PD, and 40 healthy controls. All participants underwent [

I]-N-ω-fluoropropyl-2β-carbomethoxy-3β-(4-iodophenyl)nortropane and single-photon emission computed tomography to quantify the striatal dopamine reuptake transporter binding. All subjects with idiopathic normal pressure hydrocephalus underwent a levodopa (l-dopa) challenge test and magnetic resonance imaging to evaluate ventriculomegaly and white matter changes. Gait, cognition, balance, and continence were assessed with the Idiopathic Normal Pressure Hydrocephalus Rating Scale, and parkinsonism with the motor section ofic normal pressure hydrocephalus can present a reduction of striatal dopamine reuptake transporter binding, which is consistent with the severity of parkinsonism and qualitatively differs from that found in PD patients. Longitudinal interventional studies are needed to prove a role for striatal dopamine reuptake transporter deficit in the pathophysiology of idiopathic normal pressure hydrocephalus. © 2020 International Parkinson and Movement Disorder Society.

A new sequence combining chemical-exchange saturation-transfer (CEST) with traditional MRS is used to simultaneously determine metabolite content and effects of magnetization exchange.

A CEST saturation block consisting of a train of RF-pulses is placed before a metabolite-cycled semi-LASER single-voxel spectroscopy sequence. The saturation parameters are adjustable to allow optimization of the saturation for a specific target. Data were collected in brain from 20 subjects in experiments with different B

-settings (0.4-2.0 µT) on a 3T MR scanner. CEST Z-spectra were calculated from water intensities and fitted with a multi-pool Lorentzian model. Interrelated metabolite spectra were fitted in fitting tool for arrays of interrelated datasets (FiTAID).

Evaluation of traditional Z-spectra from water revealed exchange effects from amides, amines, and hydroxyls as well as an upfield nuclear Overhauser effect. The magnetization transfer effect was evaluated on metabolites and macromolecules for the whole spenal CEST Z-spectrum from water and the metabolite spectrum under frequency-selective saturation. In addition, exchange and magnetization-transfer effects on metabolites and macromolecules can be detected, which might offer additional possibilities for quantification or give further insight into the composition of the traditional CEST Z-spectrum. Apparent magnetization-transfer effects on macromolecular signals in the 1 H-MR spectrum have been found. Detailed knowledge of magnetization-transfer effects is also relevant for judging the influence of water-suppression on the quantification of metabolite signals.

A combination of central muscle relaxants, chlorzoxazone and baclofen (chlorzoxazone-baclofen), has been proposed for treatment of cerebellar symptoms in human spinocerebellar ataxia. However, central muscle relaxants can worsen balance. The optimal dose for target engagement without toxicity remains unknown. Using the genetically precise Atxn1

model of spinocerebellar ataxia type 1, we aimed to determine the role of cerebellar dysfunction in motor impairment. We also aimed to identify appropriate concentrations of chlorzoxazone-baclofen needed for target engagement without toxicity to plan for human clinical trials.

We use patch clamp electrophysiology in acute cerebellar slices and immunostaining to identify the specific ion channels targeted by chlorzoxazone-baclofen. Behavioral assays for coordination and grip strength are used to determine specificity of chlorzoxazone-baclofen for improving cerebellar dysfunction without off-target effects in Atxn1

mice.

We identify irregular Purkinje neuron fiarget and levels above which cerebellar function will be compromised. We propose to use this information for a novel clinical trial design, using sequential dose escalation within each subject, to identify dose levels that are likely to improve ataxia symptoms while minimizing toxicity. © 2020 International Parkinson and Movement Disorder Society.

To explore the feasibility of dynamic susceptibility contrast MRI at 7 Tesla for human spinal cord perfusion mapping and fill the gap between brain and spinal cord perfusion mapping techniques.

Acquisition protocols for high-resolution single shot EPI in the spinal cord were optimized for both spin-echo and gradient-echo preparations, including cardiac gating, acquisition times and breathing cycle recording. Breathing-induced MRI signal fluctuations were investigated in healthy volunteers. A specific image- and signal-processing pipeline was implemented to address them. Dynamic susceptibility contrast was then evaluated in 3 healthy volunteers and 5 patients. Bolus depiction on slice-wise signal within cord was investigated, and maps of relative perfusion indices were computed.

Signal fluctuations were increased by 1.9 and 2.3 in free-breathing compared to apnea with spin-echo and gradient-echo, respectively. The ratio between signal fluctuations and bolus peak in healthy volunteers was 5.0% for spin-ecnditions associated with patients; guidelines to achieve that have been identified and shared.The objective was to assess the changes in quality of life (QoL) and patient satisfaction of chronically ill patients in general practices in Salzburg (Austria) and South Tyrol (Italy) after implementation of a combined intervention addressing quality of care of general practitioners (GPs). Furthermore, the correlation between QoL/patient satisfaction and quality of care provided by the GPs (measured by a quality score based on quality indicators [QIs]) was investigated. The non-controlled pre-post study involved GPs and patients with chronic conditions. The intervention consisted of self-audit, benchmarking and quality circles. QIs were extracted in the participating practices in 2012 (preintervention) and 2014 (postintervention). Before and after the intervention, a patient survey was conducted including EQ-5D (measuring health-related QoL), a patient participation scale and parts of the European Task Force on Patient Evaluations of General Practice questionnaire (measuring patient satisfaction). Mann-Whitney U-tests, chi-square tests and Spearman's rank correlation were applied for statistical analysis.

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