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Rogalski EJ, Huentelman MJ, Roberts AC, Maher AC, McIlroy B, Van Ooteghem K, Finger E, Lim A, Okonkwo OC, Goldstein FC, Hajjar I, Parrish T, Scholtens D, Gutierrez S, Weintraub S, Geula C, Mesulam M. The SuperAging Research Initiative: A multisite consortium focused on identifying factors promoting extraordinary cognitive aging. Alzheimers Dement 2022. [DOI: 10.1002/alz.066407] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Affiliation(s)
| | - Matthew J Huentelman
- The Translational Genomics Research Institute (TGen‐ an Affiliate of City of Hope) Phoenix AZ USA
| | | | | | | | | | - Elizabeth Finger
- Department of Clinical Neurological Sciences, University of Western Ontario London ON Canada
| | - Andrew Lim
- Sunnybrook Health Sciences Centre Toronto ON Canada
| | - Ozioma C. Okonkwo
- Alzheimer’s Disease Research Center, University of Wisconsin‐Madison School of Medicine and Public Health Madison WI USA
| | - Felicia C Goldstein
- Emory University Goizueta Alzheimer’s Disease Research Center Atlanta GA USA
| | - Ihab Hajjar
- Emory University School of Medicine Atlanta GA USA
| | | | | | | | | | - Changiz Geula
- Northwestern University Feinberg School of Medicine Chicago IL USA
| | - M.‐Marsel Mesulam
- Northwestern University Feinberg School of Medicine Chicago IL USA
- Northwestern University Chicago IL USA
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Montero‐Odasso M, Almeida QJ, Burhan AM, Camicioli R, Li K, Liu‐Ambrose T, Middleton LE, Doyon J, Fraser S, Hunter SW, McIlroy B, Morais JA, Pieruccini‐Faria F, Shoemaker K, Speechley MR, Vasudev A, Zou GY, Berryman N, Lussier M, Vanderhaeghe L, Bherer L. The SYNERGIC Trial: A Randomized Controlled Trial Assessing Multimodal Interventions to Improve Cognition in Mild Cognitive Impairment in Older Adults. Alzheimers Dement 2022. [DOI: 10.1002/alz.061616] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Affiliation(s)
| | | | - Amer M. Burhan
- Ontario Shores Centre for Mental Health Sciences Whitby ON Canada
| | | | - Karen Li
- Concordia University Montreal QC Canada
| | | | | | - Julien Doyon
- Centre de Recherche de l’Institut Universitaire de Gériatrie de Montréal (CRIUGM) Montreal QC Canada
| | | | | | | | - José A Morais
- McGill University Montreal QC Canada
- McGill University Health Centre Montreal QC Canada
| | - Frederico Pieruccini‐Faria
- Gait and Brain Laboratory, Parkwood Institute London ON Canada
- Gait & Brain Lab; Lawson Research Institute; Schulich School of Medicine& Dentistry, Division of Geriatric Medicine, Western University London ON Canada
| | | | | | - Akshya Vasudev
- University of Western Ontario; Department of Medicine, Division of Clinical Pharmacology, University of Western Ontario London ON Canada
| | - G Y Zou
- University of Wester Ontario London ON Canada
| | | | - Maxime Lussier
- University of Montreal Montreal QC Canada
- Centre de Recherche de l'Institut Universitaire de Gériatrie de Montréal (CRIUGM) Montreal QC Canada
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Pieruccini-Faria F, McLaughlin P, Cornish B, Binns M, Bartha R, McIlroy B, Odasso MM, Faria F. Dual-Task Gait Cost and Frontal Lobe Integrity in Poststroke: Results From ONDRI. Innov Aging 2020. [PMCID: PMC7740483 DOI: 10.1093/geroni/igaa057.826] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Dual-task gait performance is a marker of motor-cognitive interactions modulated by the frontal lobes. After a stroke, gait disturbances are more evident, particularly when concurrently completing a mental task and walking, an effect called high dual-task cost (DTC). Following a stroke, the potential association of high-DTC, integrity of the frontal lobes and cognitive functioning is unclear. This study screened 161 participants with stroke history from the Ontario Neurodegenerative Disease Research Initiative (ONDRI)-cerebrovascular disease cohort (69.2±7.41 years of age; 31.7% women). Individuals scoring zero in the National Institute of Health Stroke Scale were analyzed (n=102). DTC was the percentage change in gait speed from the single to dual-task condition. Standardized normal-appearing white matter (NAWM) and grey matter (NAGM) volumes from superior, middle and inferior frontal lobe were compared between DTC quartiles (adjusted for age, sex, and education) using a multivariate model (MANOVA), with total frontal lobe volume as a covariate. Another model compared group performance across 5 adjusted cognitive domains (attention, memory, language, visuospatial performance, and executive functioning). Univariate tests revealed that NAWM volume in the superior frontal lobe (F=4.50; p=0.005; partial eta-squared=0.122) was significantly different across DTC quartiles. Contrast tests suggested that the first quartile had larger NAWM than the second and fourth. DTC quartiles also showed differences in attention (F=2.93; p=0.03; partial eta-squared=0.083) and contrast tests indicated that the first quartile performed significantly better than second and fourth. DTC poststroke may be a proxy for structural integrity of superior frontal lobe regions and attention.
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Affiliation(s)
| | | | | | | | | | - Bill McIlroy
- University of Waterloo, Waterloo, Ontario, Canada
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Sakurai R, Faria‐Pieruccini F, Dilliott AA, Hegele R, Tartaglia C, McLaughlin P, Binns M, Blue K, Cornish B, Sunderland KM, Beaton D, Haddad SM, Tan B, Swartz RH, Kwan D, Masellis M, Ramirez J, Roberts AC, Black SE, Symons S, Strother SC, Borrie M, Pasternak SH, Freedman M, Bartha R, Lang A, Munoz D, McIlroy B, Montero‐Odasso M. Abnormal brain structure mediates the association between ApoE4 and slow gait among patients with pathological cognitive impairment: Results from the Ontario Neurodegenerative Research Initiative. Alzheimers Dement 2020. [DOI: 10.1002/alz.044540] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
- Ryota Sakurai
- Tokyo Metropolitan Institute of Gerontology Tokyo Japan
| | | | | | | | | | - Paula McLaughlin
- Ontario Neurodegenerative Disease Research Initiative Toronto ON Canada
| | | | - Korbin Blue
- Gait and Brain Laboratory, Parkwood Institute London ON Canada
| | | | | | | | | | - Brian Tan
- Sunnybrook Health Sciences Centre Toronto ON Canada
| | | | - Donna Kwan
- Ontario Neurodegenerative Disease Research Initiative Toronto ON Canada
| | | | - Joel Ramirez
- LC Campbell Cognitive Neurology Research Unit Toronto ON Canada
| | | | - Sandra E. Black
- L.C. Campbell Cognitive Neurology Research Unit, Hurvitz Brain Sciences Research Program Sunnybrook Health Sciences Centre Toronto ON Canada
| | - Sean Symons
- Sunnybrook Health Sciences Centre Toronto ON Canada
| | | | | | | | | | | | - Anthony Lang
- Movement Disorder Clinic, Toronto Western Hospital University Health Network Toronto ON Canada
| | | | | | - Manuel Montero‐Odasso
- Schulich School of Medicine & Dentistry, Division of Geriatric Medicine Western University London ON Canada
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Pieruccini‐Faria F, Sarquis‐Adamson Y, Anton‐Rodrigo I, Noguerón‐García A, Bray NW, Camicioli R, Muir‐Hunter SW, Speechley M, McIlroy B, Montero‐Odasso M. Mapping Associations Between Gait Decline and Fall Risk in Mild Cognitive Impairment. J Am Geriatr Soc 2019; 68:576-584. [DOI: 10.1111/jgs.16265] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2019] [Revised: 10/15/2019] [Accepted: 10/17/2019] [Indexed: 01/08/2023]
Affiliation(s)
- Frederico Pieruccini‐Faria
- Gait and Brain LaboratoryParkwood Institute and Lawson Health Research InstituteUniversity of Western Ontario London Ontario Canada
- Division of Geriatric Medicine, Department of Medicine, Schulich School of Medicine and DentistryUniversity of Western Ontario London Ontario Canada
| | - Yanina Sarquis‐Adamson
- Gait and Brain LaboratoryParkwood Institute and Lawson Health Research InstituteUniversity of Western Ontario London Ontario Canada
| | - Ivan Anton‐Rodrigo
- Department of Geriatric MedicineMatia Fundazioa, Hospital Ricardo Bermingham San Sebastian Spain
| | | | - Nick W. Bray
- Gait and Brain LaboratoryParkwood Institute and Lawson Health Research InstituteUniversity of Western Ontario London Ontario Canada
- Faculty of Health SciencesSchool of Kinesiology, University of Western Ontario London Ontario, Canada
| | - Richard Camicioli
- Faculty of Health Sciences, School of Physical TherapyUniversity of Western Ontario London Ontario Canada
| | - Susan W. Muir‐Hunter
- Faculty of Health Sciences, School of Physical TherapyUniversity of Western Ontario London Ontario Canada
| | - Mark Speechley
- Department of Epidemiology and BiostatisticsUniversity of Western Ontario London Ontario Canada
| | - Bill McIlroy
- Department of KinesiologyUniversity of Waterloo Waterloo Ontario Canada
| | - Manuel Montero‐Odasso
- Gait and Brain LaboratoryParkwood Institute and Lawson Health Research InstituteUniversity of Western Ontario London Ontario Canada
- Division of Geriatric Medicine, Department of Medicine, Schulich School of Medicine and DentistryUniversity of Western Ontario London Ontario Canada
- Faculty of Health SciencesSchool of Kinesiology, University of Western Ontario London Ontario, Canada
- Division of Neurology, Department of MedicineUniversity of Alberta Edmonton Alberta Canada
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Folb O, Harris I, McIlroy B. Case report: A rare complication of Hickman line insertion. Clin Radiol 1998; 53:385-7. [PMID: 9630283 DOI: 10.1016/s0009-9260(98)80017-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Affiliation(s)
- O Folb
- Royal Liverpool Hospital, UK
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McIlroy B, Copeland GP. The acute surgical admission: is mortality predictable in the elderly? Ann R Coll Surg Engl 1995; 77:72. [PMID: 7717658 PMCID: PMC2502510] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023] Open
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Affiliation(s)
- N Davies
- Department of Surgery, University of Liverpool, UK
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Abstract
A total of 148 patients of mean age 61 years with acute gastrointestinal disease who were assessed as requiring preoperative resuscitation were studied. Overall, the mortality rate was 14.2 per cent and the morbidity rate 50.7 per cent. Resuscitation was associated with a mean(s.e.m.) improvement in predicted mortality rate of 4.2(0.8) per cent and in morbidity rate of 4.3(0.7) per cent. However, there was a group of patients in whom resuscitation was unsuccessful, despite there being no apparent difference in duration or methods of resuscitation from those of the rest of the population studied. A poor response to resuscitation was found in 28 patients; this was commoner in the elderly (P < 0.001) and in women (P < 0.05). Complications were more frequent in patients failing to improve with resuscitation (P < 0.001). In the group deteriorating despite resuscitative (P < 0.001). In the a greater proportion of patients with a perforated viscus (P < 0.001), whereas intestinal obstruction was less common (P < 0.05). This study demonstrates that resuscitation can be audited and quantified. Preoperative resuscitation appears to be beneficial, but there is a group that may benefit from synchronous surgery and resuscitation.
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Affiliation(s)
- B McIlroy
- Department of Surgery, Warrington District General Hospital, UK
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Abstract
The contribution of intracellular calcium to ventricular fibrillation (VF) was investigated using chronically instrumented dogs with healed myocardial infarctions. A 2-minute coronary occlusion was initiated during the last minute of exercise. Fourteen animals developed ventricular fibrillation (susceptible) whereas the remaining 12 did not (resistant) during this exercise plus ischemia test. The test was then repeated for the susceptible animals after pretreatment with the intracellular calcium chelator BAPTA-AM (1.0 mg/kg). BAPTA-AM significantly reduced left ventricular dp/dt max and prevented VF in 8 of 12 susceptible animals. Conversely, myocardial cytosolic calcium levels were increased in resistant animals using the calcium channel agonist Bay K 8644 (30 micrograms/kg) or phenylephrine (10 micrograms.kg-1.min-1 3-5 min before occlusion). Bay K 8644 induced VF in all 5 resistant animals tested whereas phenylephrine induced VF in 8 of 12 resistant animals. BAPTA-AM pretreatment attenuated the hemodynamic effects of Bay K 8644 or phenylephrine and prevented VF in five of five Bay K 8644- and four of seven phenylephrine-treated animals. Finally, the endogenous level of calcium/calmodulin (Ca-CaM)-dependent phosphorylation of 170- and 55-kDa substrate proteins was measured (as an index of intracellular free calcium concentration). In the susceptible dog heart, the endogenous level of Ca-CaM-dependent phosphorylation was estimated to be two- to threefold higher than that observed in resistant dog heart. Treatment of resistant dog tissue with the calcium ionophore A23187 increased the level of Ca-CaM-dependent phosphorylation of these two proteins to the level observed in susceptible dog heart. These data suggest that elevated cytosolic calcium facilitates development of malignant arrhythmias and that elevated cytosolic calcium levels may be present in animals particularly susceptible to ventricular fibrillation.
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Affiliation(s)
- G E Billman
- Department of Physiology, Ohio State University, Columbus 43210
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