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Specification of parameters for development of a spatial database for drought monitoring and famine early warning in the African Sahel

Parameters were described for spatial database to facilitate drought monitoring and famine early warning in the African Sahel. The proposed system, referred to as the African Drought and Famine Information System (ADFIS) is ultimately recommended for implementation with the NASA/FEMA Spatial Analysis and Modeling System (SAMS), a GIS/Dymanic Modeling software package, currently under development. SAMS is derived from FEMA'S Integration Emergency Management Information System (IEMIS) and the Pacific Northwest Laborotory's/Engineering Topographic Laboratory's Airland Battlefield Environment (ALBE) GIS. SAMS is primarily intended for disaster planning and resource management applications with the developing countries. Sources of data for the system would include the Developing Economics Branch of the U.S. Dept. of Agriculture, the World Bank, Tulane University School of Public Health and Tropical Medicine's Famine Early Warning Systems (FEWS) Project, the USAID's Foreign Disaster Assistance Section, the World Resources Institute, the World Meterological Institute, the USGS, the UNFAO, UNICEF, and the United Nations Disaster Relief Organization (UNDRO). Satellite imagery would include decadal AVHRR imagery and Normalized Difference Vegetation Index (NDVI) values from 1981 to the present for the African continent and selected Landsat scenes for the Sudan pilot study. The system is initially conceived for the MicroVAX 2/GPX, running VMS. To facilitate comparative analysis, a global time-series database (1950 to 1987) is included for a basic set of 125 socio-economic variables per country per year. A more detailed database for the Sahelian countries includes soil type, water resources, agricultural production, agricultural import and export, food aid, and consumption. A pilot dataset for the Sudan with over 2,500 variables from the World Bank's ANDREX system, also includes epidemiological data on incidence of kwashiorkor, marasmus, other nutritional deficiencies, and synergistically-related infectious diseases.

Rochon, Gilbert L.↗

Cosmos, an international center for advanced studies

The concept of Cosmos, a Soviet operating center for aerospace activities, is presented. The main Cosmos participants are the Institute for Aerospace Education, the Institute for Research and Commercial Development, and the Department of Space Policy and Socio-Economic Studies. Cosmos sponsors a number of educational programs, basic research, and studies of the social impact of space-related technologies.

Ryzhov, Iurii↗

New materials: Fountainhead for new technologies and new science

The role of materials as the benchmark technologies which give epochs of human history their names continues into the present. The discovery of new materials has nearly always been the source of new materials science, and frequently of new technologies. This paper analyzes the actual processes by which new materials are synthesized, i.e. whether driven by serendipitous observations, new knowledge is pulled by the market, or integrated into a technological thrust. This analysis focuses on modern ceramic materials discoveries, since World War 2 and uses 45 years experience in materials synthesis in the author's own laboratory as case studies. A dozen different families of materials or processes are involved: hydrothermal reactions; sol-gel processing; clays and zeolites; electroceramics; zero expansion ceramics; diamond films; and radioactive waste host phases. Nanocomposite concepts introduced by the author a decade ago offer an entire, large, new class of materials which will dominate synthesis for the next period. The future of materials research for the next 25 years cannot be extrapolated from the past 25 years. We are near the asymptote for materials utilization in most metals. Likewise we are approaching saturation in improvement of many useful properties. Justifying much further 'basic' R/D for incremental improvement in civilian-oriented industries will not be easy. In materials synthesis, the near-term future is sure to emphasize not new phases, but tailored micro- and nanocomposites for chemical, electrical, optical, and magnetic uses. Unexpected new discoveries such as the Lanxide process may offer rarer chances for step function advances. The new structure of knowledge management will rely less on local research than on integration of worldwide inputs. Better scientific and technological opportunities will lie in designing knowledge intensive materials to meet the new environmental and conservation goals, and the human needs of the very large numbers at the bottom of the socio-economic structures of the world.

Rustum, Roy↗

Bureau of the Census Center for International Research

This paper describes the organization and activities of the Center for International Research at the Bureau of the Census. There is a formal publication exchange program with other government's statistical programs. This has resulted in the Center's collection being one of the world's largest in the area of international census and demographic information. Foreign statistical publications are in three libraries, one being dedicated to the former Soviet Union and one to the Peoples Republic of China. In addition to the libraries there are two computerized data bases. The International data base is a source of demographic and socio-economic statistics for all countries of the world. The second data base is the HIV/AIDS Surveillance Data Base which contains information related to the publication and dissemination of the results of seroprevalence surveys.

Pinto, Nina Pane↗

Assessment of the 1997-1998 Asian Monsoon Anomalies

Using State-of-the-art satellite-gauge monthly rainfall estimate and optimally interpolated sea surface temperature (SST) data, we have assessed the 1997-98 Asian monsoon anomalies in terms of three basic causal factors: basin-scale SST, regional coupling, and internal variability. Singular Value Decomposition analysis of rainfall and SST are carried out globally over the entire tropics and regionally over the Asian monsoon domain. Contributions to monsoon rainfall predictability by various factors are evaluated from cumulative anomaly correlation with dominant regional SVD modes. Results reveal a dominant, large-scale monsoon-El Nino coupled mode with well-defined centers of action in the near-equatorial monsoon regions. it is noted that some subcontinental regions such as all-India, or arbitrarily chosen land regions over East Asia, while important socio-economically, are not near the centers of influence from El Nino, hence are not necessarily representative of the response of the entire monsoon region to El Nino. The observed 1997-98 Asian monsoon anomalies are found to be very complex with approximately 34% of the anomalies attributable to basin- scale SST influence associated with El Nino. Regional coupled processes contribute an additional 19%, leaving about 47% due to internal dynamics. Also noted is that the highest monsoon predictability is not necessary associated with major El Nino events (e.g. 1997, 1982) but rather in non-El Nino years (e.g. 1980, 1988) when contributions from the regional coupled modes far exceed those from the basin-scale SST. The results suggest that in order to improve monsoon seasonal-to-interannual predictability, there is a need to exploit not only monsoon-El Nino relationship, but also monsoon regional coupled processes and their modulation by long-term climate change.

Lau, William K.-M.↗

A System Concept for the Advanced Post-TRMM Rainfall Profiling Radars

Atmospheric latent heating field is fundamental to all modes of atmospheric circulation and upper mixed layer circulations of the ocean. The key to understanding the atmospheric heating process is understanding how and where precipitation occurs. The principal atmospheric processes which link precipitation to atmospheric circulation include: (1) convective mass fluxes in the form of updrafts and downdrafts; (2) microphysical. nucleation and growth of hydrometeors; and (3) latent heating through dynamical controls on the gravitation-driven vertical mass flux of precipitation. It is well-known that surface and near-surface rainfall are two of the key forcing functions on a number of geophysical parameters at the surface-air interface. Over ocean, rainfall variation contributes to the redistribution of water salinity, sea surface temperature, fresh water supply, and marine biology and eco-system. Over land, rainfall plays a significant role in rainforest ecology and chemistry, land hydrology and surface runoff. Precipitation has also been closely linked to a number of atmospheric anomalies and natural hazards that occur at various time scales, including hurricanes, cyclones, tropical depressions, flash floods, droughts, and most noticeable of all, the El Ninos. From this point of view, the significance of global atmospheric precipitation has gone far beyond the science arena - it has a far-reaching impact on human's socio-economic well-being and sustenance. These and many other science applications require the knowledge of, in a global basis, the vertical rain structures, including vertical motion, rain intensity, differentiation of the precipitating hydrometeors' phase state, and the classification of mesoscale physical structure of the rain systems. The only direct means to obtain such information is the use of a spaceborne profiling radar. It is important to mention that the Tropical Rainfall Measuring Mission (TRMM) have made a great stride forward towards this ultimate goal. The Precipitation Radar (PR) aboard the TRMM satellite is the first ever spaceborne radar dedicated to three-dimensional, global precipitation measurements over the tropics and the subtropics, as well as the detailed synopsis of a wide range of tropical rain storm systems. In only twelve months since launch, the PR, together with other science instruments abroad the satellite have already provided unprecedented insights into the rainfall systems. It is anticipated the a lot more exciting and important rain observations would be made by TRMM throughout its mission duration. While TRMM has provided invaluable data to the user community, it is only the first step towards advancing our knowledge on rain processes and its contributions to climate variability. It is envisioned that a TRMM follow-on mission is needed in such a way to capitalize on the pioneering information provided by TRMM, and its instrument capability must be extended beyond TRMM in such a way to fully address the key science questions from microphysical to climatic time scale. In fact, a number of new and innovative mission concepts have recently put forth for this purpose. Almost all of these new concepts have suggested the utility of a more advanced, high-resolution, Doppler-enabled, vertical profiling radar that can provide multi-parameter observations of precipitation. In this paper, a system concept for a second- gene ration precipitation radar (PR-2) which addresses the above requirements will be described.

Im, Eastwood↗

A Pilot Computer-Aided Design and Manufacturing Curriculum that Promotes Engineering

Elizabeth City State University (ECSU) is located in a community that is mostly rural in nature. The area is economically deprived when compared to the rest of the state. Many businesses lack the computerized equipment and skills needed to propel upward in today's technologically advanced society. This project will close the ever-widening gap between advantaged and disadvantaged workers as well as increase their participation with industry, NASA and/or other governmental agencies. Everyone recognizes computer technology as the catalyst for advances in design, prototyping, and manufacturing or the art of machining. Unprecedented quality control and cost-efficiency improvements are recognized through the use of computer technology. This technology has changed the manufacturing industry with advanced high-tech capabilities needed by NASA. With the ever-widening digital divide, we must continue to provide computer technology to those who are socio-economically disadvantaged.

Source record↗

Stennis Space Center Environmental Geographic Information System

As NASA's lead center for rocket propulsion testing, the John C. Stennis Space Center (SSC) monitors and assesses the off-site impacts of such testing through its Environmental Office (SSC-EO) using acoustical models and ancillary data. The SSC-EO has developed a geographical database, called the SSC Environmental Geographic Information System (SSC-EGIS), that covers an eight-county area bordering the NASA facility. Through the SSC-EGIS, the Enivronmental Office inventories, assesses, and manages the nearly 139,000 acres that comprise Stennis Space Center and its surrounding acoustical buffer zone. The SSC-EGIS contains in-house data as well as a wide range of data obtained from outside sources, including private agencies and local, county, state, and U.S. government agencies. The database comprises cadastral/geodetic, hydrology, infrastructure, geo-political, physical geography, and socio-economic vector and raster layers. The imagery contained in the database is varied, including low-resolution imagery, such as Landsat TM and SPOT; high-resolution imagery, such as IKONOS and AVIRIS; and aerial photographs. The SSC-EGIS has been an integral part of several major projects and the model upon which similar EGIS's will be developed for other NASA facilities. The Corps of Engineers utilized the SSC-EGIS in a plan to establish wetland mitigation sites within the SSC buffer zone. Mississippi State University employed the SSC-EGIS in a preliminary study to evaluate public access points within the buffer zone. The SSC-EO has also expressly used the SSC-EGIS to assess noise pollution modeling, land management/wetland mitigation assessment, environmental hazards mapping, and protected areas mapping for archaeological sites and for threatened and endangered species habitats. The SSC-EO has several active and planned projects that will also make use of the SSC-EGIS during this and the coming fiscal year.

Lovely, Janette↗

Transferring Knowledge from Observations and Models to Decision Makers: An Overview and Challenges

Over the last 25 years, a tremendous progress has been made in the Earth science space-based remote sensing observations, technologies and algorithms. Such advancements have improved the predictability by providing lead-time and accuracy of forecast in weather, climate, natural hazards, and natural resources. It has further reduced or bounded the overall uncertainties by partially improving our understanding of planet Earth as an integrated system that is governed by non-linear and chaotic behavior. Many countries such US, European Community, Japan, China and others have invested billions of dollars in developing and launching space-based assets in the low earth (LEO) and geostationary (GEO) orbits. However, the wealth of this scientific knowledge that has potential of extracting monumental socio-economic benefits from such large investments have been slow in reaching to public and decision makers. For instance, there are a number of areas such as energy forecasting, aviation safety, agricultural competitiveness, disaster management, security, air quality and public health can directly take advantage. Nevertheless, we all live in a global economy that depends on access to the best available Earth Science information for all inhabitants of this planet. This paper surveys and examines a number such applications in terms of their architecture, maturity and economic applicability as they apply to the societal needs. A detailed analysis is also presented of various challenges and issues that pertain to a number of areas such as: (1) difficulties in making a speedy transition of data and information from observations and models to relevant Decision Support Systems (DSS) or tools, (2) data and models inter-operability issues, (3) limitations of spatial, spectral and temporal resolution, (4) communication limitations as dictated by the availability of image processing and data compression techniques. Additionally, the most critical element amongst all is the organizational and management boundaries that must be resolved at local, state, national and international levels to implement and realize free flow of such vital information. This paper also makes attempts to address this topic and discuss possible approaches to deal with this quandary.

Habib, Shahid↗

The CEOP Inter-Monsoon Studies (CIMS)

Prediction of climate relies on models, and better model prediction depends on good model physics. Improving model physics requires the maximal utilization of climate data of the past, present and future. CEOP provides the first example of a comprehensive, integrated global and regional data set, consisting of globally gridded data, reference site in-situ observations, model location time series (MOLTS), and integrated satellite data for a two-year period covering two complete annual cycles of 2003-2004. The monsoon regions are the most important socio-economically in terms of devastation by floods and droughts, and potential impacts from climate change md fluctuatinns nf the hydrologic cyc!e. Scientifically, it is most challenging, because of complex interactions of atmosphere, land and oceans, local vs. remote forcings in contributing to climate variability and change in the region. Given that many common features, and physical teleconnection exist among different monsoon regions, an international research focus on monsoon must be coordinated and sustained. Current models of the monsoon are grossly inadequate for regional predictions. For improvement, models must be confronted with relevant observations, and model physic developers must be made to be aware of the wealth of information from existing climate data, field measurements, and satellite data that can be used to improve models. Model transferability studles must be conducted. CIMS is a major initiative under CEOP to engage the modeling and the observational communities to join in a coordinated effort to study the monsoons. The objectives of CIMS are (a) To provide a better understanding of fundamental physical processes (diurnal cycle, annual cycle, and intraseasonal oscillations) in monsoon regions around the world and (b) To demonstrate the synergy and utility of CEOP data in providing a pathway for model physics evaluation and improvement. In this talk, I will present the basic concepts of CIMS and the key scientific problems facing monsoon climates and provide examples of common monsoon features, and possible monsoon induced teleconnections linking different parts of the world.

Lau, William K. M.↗

NASA LCLUC Program: An Integrated Forest Monitoring System for Central Africa

Central Africa has the second largest unfragmented block of tropical rain forest in the world; it is also one of the largest carbon and biodiversity reservoirs. With nearly one-third of the forest currently allocated for logging, the region is poised to undergo extensive land-use change. Through the mapping of the forests, our Integrated Forest Monitoring System for Central Africa (INFORMS) project aims to monitor habitat alteration, support biodiversity conservation, and promote better land-use planning and forest management. Designed as an interdisciplinary project, its goal is to integrate data acquired from satellites with field observations from forest inventories, wildlife surveys, and socio-economic studies to map and monitor forest resources. This project also emphasizes on collaboration and coordination with international, regional, national, and local partners-including non-profit, governmental, and commercial sectors. This project has been focused on developing remote sensing products for the needs of forest conservation and management, insuring that research findings are incorporated in forest management plans at the national level. The societal impact of INFORMS can be also appreciated through the development of a regional remote sensing network in central Africa. With a regional office in Kinshasa, (www.OSFAC.org), the contribution to the development of forest management plans for 1.5 million hectares of forests in northern Republic of Congo (www.tt-timber.com), and the monitoring of park encroachments in the Albertine region (Uganda and DRC) (www.albertinerift.org).

Laporte, Nadine↗

Spatial Predictive Modeling and Remote Sensing of Land Use Change in the Chesapeake Bay Watershed

This project was focused on modeling the processes by which increasing demand for developed land uses, brought about by changes in the regional economy and the socio-demographics of the region, are translated into a changing spatial pattern of land use. Our study focused on a portion of the Chesapeake Bay Watershed where the spatial patterns of sprawl represent a set of conditions generally prevalent in much of the U.S. Working in the region permitted us access to (i) a time-series of multi-scale and multi-temporal (including historical) satellite imagery and (ii) an established network of collaborating partners and agencies willing to share resources and to utilize developed techniques and model results. In addition, a unique parcel-level tax assessment database and linked parcel boundary maps exists for two counties in the Maryland portion of this region that made it possible to establish a historical cross-section time-series database of parcel level development decisions. Scenario analyses of future land use dynamics provided critical quantitative insight into the impact of alternative land management and policy decisions. These also have been specifically aimed at addressing growth control policies aimed at curbing exurban (sprawl) development. Our initial technical approach included three components: (i) spatial econometric modeling of the development decision, (ii) remote sensing of suburban change and residential land use density, including comparisons of past change from Landsat analyses and more traditional sources, and (iii) linkages between the two through variable initialization and supplementation of parcel level data. To these we added a fourth component, (iv) cellular automata modeling of urbanization, which proved to be a valuable addition to the project. This project has generated both remote sensing and spatially explicit socio-economic data to estimate and calibrate the parameters for two different types of land use change models and has undertaken analyses of these models. One (the CA model) is driven largely by observations on past patterns of land use change, while the other (the EC model) is driven by mechanisms of the land use change decision at the parcel level. Our project may be the first serious attempt at developing both types of models for the same area, using as much common data as possible. We have identified the strengths and weaknesses of the two approaches and plan to continue to revise each model in the light of new data and new lessons learned through continued collaboration. Questions, approaches, findings, publication and presentation lists concerning the research are also presented.

Goetz, Scott J.↗

A Robust Scalable Transportation System Concept

This report documents the 2005 Revolutionary System Concept for Aeronautics (RSCA) study entitled "A Robust, Scalable Transportation System Concept". The objective of the study was to generate, at a high-level of abstraction, characteristics of a new concept for the National Airspace System, or the new NAS, under which transportation goals such as increased throughput, delay reduction, and improved robustness could be realized. Since such an objective can be overwhelmingly complex if pursued at the lowest levels of detail, instead a System-of-Systems (SoS) approach was adopted to model alternative air transportation architectures at a high level. The SoS approach allows the consideration of not only the technical aspects of the NAS", but also incorporates policy, socio-economic, and alternative transportation system considerations into one architecture. While the representations of the individual systems are basic, the higher level approach allows for ways to optimize the SoS at the network level, determining the best topology (i.e. configuration of nodes and links). The final product (concept) is a set of rules of behavior and network structure that not only satisfies national transportation goals, but represents the high impact rules that accomplish those goals by getting the agents to "do the right thing" naturally. The novel combination of Agent Based Modeling and Network Theory provides the core analysis methodology in the System-of-Systems approach. Our method of approach is non-deterministic which means, fundamentally, it asks and answers different questions than deterministic models. The nondeterministic method is necessary primarily due to our marriage of human systems with technological ones in a partially unknown set of future worlds. Our goal is to understand and simulate how the SoS, human and technological components combined, evolve.

Hahn, Andrew↗

Nutritional Status in Self-Neglecting Elderly

Elder self-neglect is the most common, and most compelling form of elder mistreatment. Individuals who cannot provide the basic needs for themselves may develop social, functional, and physical deficits. The CREST project has the goal of systematically characterizing these individuals, and the objective of the study reported here is to characterize aspects of their nutritional status. Self-neglect (SN) subjects referred from Adult Protective Services were recruited and consented. Control (CN) subjects were matched for age, gender, race, and socio-economic status when possible. Reported here are data on 47 SN subjects (age 77 +/- 7, mean +/- SD; body weight 76 kg +/- 26) and 40 CN subjects (77 +/- 7, 79 kg +/- 20). Blood samples were analyzed for indices of nutritional status. SN subjects had higher serum concentrations of homocysteine (p < 0.01) and methylmalonic acid (p < 0.05). Red blood cell folate levels were lower (p < 0.01) in the SN subjects and serum folate levels tended (p < 0.07) to be lower, also. C-reactive protein concentrations were higher than 10 mg/dL in 36% of SN subjects and 18% of CN subjects. Total cholesterol and triglyceride concentrations were similar in the two groups. These data demonstrate that the self-neglecting elderly population is at risk with respect to several markers of nutritional status.

Oliver, S. Mathews↗

Irrigation Requirement Estimation using MODIS Vegetation Indices and Inverse Biophysical Modeling; A Case Study for Oran, Algeria

Human demand for food influences the water cycle through diversion and extraction of fresh water needed to support agriculture. Future population growth and economic development alone will substantially increase water demand and much of it for agricultural uses. For many semi-arid lands, socio-economic shifts are likely to exacerbate changes in climate as a driver of future water supply and demand. For these areas in particular, where the balance between water supply and demand is fragile, variations in regional climate can have potentially predictable effect on agricultural production. Satellite data and biophysically-based models provide a powerful method to quantify the interactions between local climate, plant growth and water resource requirements. In irrigated agricultural lands, satellite observations indicate high vegetation density while the precipitation amount indicates otherwise. This inconsistency between the observed precipitation and the observed canopy leaf density triggers the possibility that the observed high leaf density is due to an alternate source of water, irrigation. We explore an inverse process approach using observations from the Moderate Resolution Imaging Spectroradiometer (MODIS), climatological data, and the NASA's Simple Biosphere model, SiB2, to quantitatively assess water demand in a semi-arid agricultural land by constraining the carbon and water cycles modeled under both equilibrium (balance between vegetation and prevailing local climate) and nonequilibrium (water added through irrigation) conditions. We postulate that the degree to which irrigated lands vary from equilibrium conditions is related to the amount of irrigation water used. We added water using two distribution methods: The first method adds water on top of the canopy and is a proxy for the traditional spray irrigation. The second method allows water to be applied directly into the soil layer and serves as proxy for drip irrigation. Our approach indicates that over the study site, for the month of July, spray irrigation resulted in an irrigation amount of about 1.4 mm per occurrence with an average frequency of occurrence of 24.6 hours. The simulated total monthly irrigation for July was 34.85 mm. In contrast, the drip irrigation resulted in less frequent irrigation events with an average water requirement about 57% less than that simulated during the spray irrigation case. The efficiency of the drip irrigation method rests on its reduction of the canopy interception loss compared to the spray irrigation method. When compared to a country-wide average estimate of irrigation water use, our numbers are quite low. We would have to revise the reported country level estimates downward to 17% or less

Bounoua, L.↗

Coastal Marsh Monitoring for Persistent Saltwater Intrusion

This viewgraph presentation reviews NASA's work on the project that supports the Gulf of Mexico Alliance (GOMA) Governors Action Plan to monitor the coastal wetlands for saltwater intrusion. The action items that relate to the task are: (1) Obtain information on projected relative sea level rise, subsidence, and storm vulnerability to help prioritize conservation projects, including restoration, enhancement, and acquisition, and (2) Develop and apply ecosystem models to forecast the habitat structure and succession following hurricane disturbance and changes in ecological functions and services that impact vital socio-economic aspects of coastal systems. The objectives of the program are to provide resource managers with remote sensing products that support ecosystem forecasting models requiring salinity and inundation data. Specifically, the proposed work supports the habitat-switching modules in the Coastal Louisiana Ecosystem Assessment and Restoration (CLEAR) model, which provides scientific evaluation for restoration management.

Hall, Callie M.↗

Homocysteine and Cognitive Performance in Elders with Self-Neglect

Elevated plasma homocysteine has been associated with altered cognitive performance in older adults. Elders referred to Adult Protective Services (APS) for self-neglect have been reported to have elevated plasma homocysteine levels and to suffer from cognitive impairment. This study assesses the association, if any, between plasma homocysteine and cognitive performance among elders with self-neglect. Methods: Sixty-five community-living adults, 65 years of age and older, reported to Adult Protective Services for self-neglect and 55 matched controls (matched for age, ethnicity, gender and socio-economic status) consented and participated in this study. The research team conducted in-home comprehensive geriatric assessments which included the mini-mental state exam (MMSE), the 15-item geriatric depression scale (GDS), the Wolf-Klein Clock Drawing Tests (CDT) and a comprehensive nutritional biochemistry panel, which included plasma homocysteine. Student s t tests and Pearson correlations were conducted to assess for bivariate associations. Results: Elders with self-neglect had significantly higher plasma homocysteine levels (M=12.68umol/L, sd=4.4) compared to the controls (M=10.40umol/L, sd=3.61;t=3.21, df=127, p=.002). There were no statistically significant associations between cognitive performance and plasma homocysteine in the self-neglect group, however there was a significant correlation between plasma homocysteine and the CDT among the controls (r=-.296, p=.022). Conclusion: Mean plasma homocysteine levels were significantly higher in elders with self-neglect, however, they do not appear to be related to cognitive performance, indicating that cognitive impairment in elder self-neglect involve mechanisms other than hyperhomocysteinemia. These findings warrant further investigation

Burnett, J.↗

Parathyroid Hormone Levels and Cognition

Hyperparathyroidism is a well-recognized cause of impaired cognition due to hypercalcemia. However, recent studies have suggested that perhaps parathyroid hormone itself plays a role in cognition, especially executive dysfunction. The purpose of this study was to explore the relationship of parathyroid hormone levels in a study cohort of elders with impaied cognition. Methods: Sixty community-living adults, 65 years of age and older, reported to Adult Protective Services for self-neglect and 55 controls matched (on age, ethnicity, gender and socio-economic status) consented and participated in this study. The research team conducted in-home comprehensive geriatric assessments which included the Mini-mental state exam (MMSE), the 15-item geriatric depression scale (GDS) , the Wolf-Klein clock test and a comprehensive nutritional panel, which included parathyroid hormone and ionized calcium. Students t tests and linear regression analyses were performed to assess for bivariate associations. Results: Self-neglecters (M = 73.73, sd=48.4) had significantly higher PTH levels compared to controls (M =47.59, sd=28.7; t=3.59, df=98.94, p<.01). There was no significant group difference in ionized calcium levels. Overall, PTH was correlated with the MMSE (r=-.323, p=.001). Individual regression analyses revealed a statistically significant correlation between PTH and MMSE in the self-neglect group (r=-.298, p=.024) and this remained significant after controlling for ionized calcium levels in the regression. No significant associations were revealed in the control group or among any of the other cognitive measures. Conclusion: Parathyroid hormone may be associated with cognitive performance.

Burnett, J.↗