Robert Perna
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View article: Cognitively Unimpaired Older Adults with Type 2 Diabetes have Higher Levels of Plasma <i>p</i> ‐tau217
Cognitively Unimpaired Older Adults with Type 2 Diabetes have Higher Levels of Plasma <i>p</i> ‐tau217 Open
Background Alzheimer's disease (AD) and type 2 diabetes (T2D) share common pathophysiological mechanisms and cognitive sequelae. A potential mechanism by which T2D raises AD risk among aging adults relates to alterations in the medial temp…
View article: Lower plasma p‐tau levels and larger hippocampi may protect African American SuperAgers from age‐related cognitive decline and Alzheimer’s disease
Lower plasma p‐tau levels and larger hippocampi may protect African American SuperAgers from age‐related cognitive decline and Alzheimer’s disease Open
Background Advancing age is typically associated with a decline in memory capacity and increased risk of Alzheimer’s disease (AD) 1 . However, there is a subgroup of the older adult population defined as SuperAgers that presents excellent …
View article: Emotional, Behavioral, and Cognitive Symptom Associations With Community Participation in Chronic Traumatic Brain Injury
Emotional, Behavioral, and Cognitive Symptom Associations With Community Participation in Chronic Traumatic Brain Injury Open
Objectives: To determine the association between self-reported emotional and cognitive symptoms and participation outcomes in chronic traumatic brain injury (TBI) and to explore the relative contribution of self-reported versus performance…
View article: Anti-NMDA Encephalitis Cases Secondary to Teratoma and Pregnancy
Anti-NMDA Encephalitis Cases Secondary to Teratoma and Pregnancy Open
Anti-NMDA receptor (anti-NMDAR) encephalitis frequently develops in young women [1] and can be related to an autoimmune reaction to pregnancy or an ovarian teratoma. Severe new onset psychiatric symptoms and/or seizures in young adult wome…
View article: Psychosocial issues associated with stroke
Psychosocial issues associated with stroke Open
physical impairments such as hemiplegia or language problems such as aphasia, but over time the stress and burden of the situation often takes a toll on the individual's mood and caregivers.
View article: Race and Post-acute Stroke Recovery: More Similarities than Differences
Race and Post-acute Stroke Recovery: More Similarities than Differences Open
Race is a significant variable in terms of some health outcomes.Research has produced mixed findings in regards to the influence of race membership and rehabilitation outcomes from cardiovascular insults.More extensive research focused on …
View article: Nature (Genes), Nurture (Epigenetics), and Brain Development
Nature (Genes), Nurture (Epigenetics), and Brain Development Open
Behavioral geneticists commonly claim that DNA accounts for 30 to 50 percent of our behaviors, 3 which leaves 50 to 70 percent explained by environment.It is now clear that there is a dynamic interplay between genes and environmental influ…
View article: Case series of adults with Moyamoya-related stroke and rehabilitation outcomes.
Case series of adults with Moyamoya-related stroke and rehabilitation outcomes. Open
Moyamoya disease is a rare cerebrovascular syndrome characterized by progressive stenosis and occlusion of the internal carotid arteries and other circle of Willis blood vessels. There is a growing body of research on Moyamoya, but very li…
View article: C-30Caregiver Training to Facilitate Improved Brain Injury Rehabilitation
C-30Caregiver Training to Facilitate Improved Brain Injury Rehabilitation Open
Objective: Caregiving after acquired brain injury is challenging, can correlate with long-term outcome and may require training to be effective.Some brain injury rehabilitation programs offer support groups/training as a resource for careg…
View article: Recovery from Pediatric Acquired Brain Injury: A Guarded Prognosis
Recovery from Pediatric Acquired Brain Injury: A Guarded Prognosis Open
injury.
View article: Limbic Encephalitis: Complex Presentation and Course
Limbic Encephalitis: Complex Presentation and Course Open
Limbic encephalitis is often associated with NMDA antibodies.NMDA receptors are highly expressed in the forebrain, limbic system, and hypothalamus, and play a role in synaptic transmission and plasticity. 3,4In NMDA receptor encephalitis, …
View article: Comorbidity and Diagnosing Developmental Disorders
Comorbidity and Diagnosing Developmental Disorders Open
Neurodevelopmental disorders are now known to have a higher incidence and higher rate of comorbidities than conditions more frequently than would be expected by chance.In the past, comorbidity was thought to be the exception whereas it now…
View article: Editorial: Post-stroke Angiogenesis and Treatment Potential
Editorial: Post-stroke Angiogenesis and Treatment Potential Open
Vascular science is progressing rapidly and current research methodologies are facilitating the testing of many potential treatments for vascular disease. One fascinating area of research with great potential for clinical implications is a…
View article: Internal Memory Rehabilitation Strategies in the Context of Post-acute Brain Injury: A Pilot Study
Internal Memory Rehabilitation Strategies in the Context of Post-acute Brain Injury: A Pilot Study Open
Memory impairments are one of the most common consequences of acquired brain injury. Poor memory can have a severe impact on a person’s daily functioning and his/her quality of life. While research provides some support for using external,…
View article: Treatment of Depression Following a Traumatic Brain Injury
Treatment of Depression Following a Traumatic Brain Injury Open
Brief overview of Depression Associated with Brain InjuryBrain injury can and often does carry heavy cost for its survivors in terms of physical impairments, cognitive difficulties, and psychosocial dysfunction. 1 One of the most common ps…
View article: Rehabilitation Outcomes: Ischemic versus Hemorrhagic Strokes
Rehabilitation Outcomes: Ischemic versus Hemorrhagic Strokes Open
Background . Ischemic and hemorrhagic strokes have different pathophysiologies and possibly different long-term cerebral and functional implications. Hemorrhagic strokes expose the brain to irritating effects of blood and ischemic strokes …