Math Journaling in the Classroom and Out

Math Journaling in the Classroom and Out Diary composing can be an important procedure to additionally create and upgrade your scientific reasoning and relational abilities in science. Diary passages in arithmetic give chances to people to self-evaluate what theyve realized. At the point when one makes a section into a math diary, it turns into a record of the experience got from the particular math exercise or critical thinking action. The individual needs to consider what he/she did so as to convey it recorded as a hard copy; in this manner, one increases some important understanding and criticism about the numerical critical thinking process. The math no longer turns into an assignment whereby the individual basically adheres to the means or general guidelines. At the point when a math diary section is required as a follow up to the particular learning objective, one really needs to consider what was done and what was required to unravel the particular math action or issue. Math teachers additionally find that math journ aling can be very successful. When perusing the diary passages, a choice can be made to decide whether further audit is required. At the point when an individual composes a math diary, they should ponder what they have realized which turns into an extraordinary appraisal method for people and teachers. In the event that math diaries are something new, you will need to utilize the accompanying procedures to help the usage of this important composing movement. Method A diary ought to be composed toward the finish of a math exercise.Journal sections ought to be in a different book, one utilized explicitly for scientific thinking.Math diaries ought to contain explicit insights regarding the zones of challenges and territories of success.The math diary passages should take close to 5-7 minutes.Math diaries should be possible with kids and grown-ups. More youthful youngsters will draw photos of the solid math issue they have explored.Math diaries ought not be done day by day, its progressively critical to do math diaries with new ideas in regions explicitly identified with development in numerical issue solving.Be understanding, math journaling sets aside effort to learn. It is basic to comprehend that math journaling is a section of the numerical reasoning procedures. Theres no set in stone perspective! Math Journal Prompts to Get You Started I realized I was correct when......If I missed____________ I would have to__________________.The thing you need to recollect with this sort of issue is........Tips I would give a companion to tackle this issue are.........I wish I knew more about......How commonly did you attempt to take care of the issue? How did you at long last comprehend it?Could you have discovered the appropriate response by accomplishing something other than what's expected? What?What technique did you use to take care of this issue and why?Was this hard or simple? Why?Where else might you be able to utilize this kind of issue solving?What would occur on the off chance that you missed a stage? Why?What different systems might you be able to use to settle this problem?Write 4 stages for another person that will unravel this problem.What might you want to improve next time?Were you baffled with this issue? Why or why not?What choices must be made when explaining this problem?What do you like about math? What don t you like about math?Is math your preferred subject? Why or why not? At the point when one needs to expound on critical thinking procedures, it assists with explaining thinking. We will regularly find answers for issues when we expound on the issue. Another methodology that assists with holding math ideas and bolster understanding is realizing how to take extraordinary notes in math.

Jeep JK Essay Example for Free

Jeep JK Essay 2013 Overland Expo Photo Highlights May nineteenth, 2013 Since I initially found out about it a couple of years back, I have been needing to go to the Overland Expo and see what it was about. Unquestionably, as any individual who realizes me knows, I love devices and imaginative gear that can assist on the path and figured, on the off chance that anybody would have it, they would. Odyssey Extreme Series Battery PC1220 for 2012-Up Jeep JK Wranglers December eighteenth, 2012 In 2012, Chrysler chose to change out the standard Group 34 battery they had been utilizing since 2007 and supplanted it with a Group 91. Generally, this would be not a problem as they are basically something very similar in any case, there is one key distinction that makes it hard to utilize a Group 34 and, that is the terminals are on inverse sides. Since the force and ground leads are sliced to such a definite length, you cant basically traverse and consider it daily. Obviously, to convolute things much increasingly, a Group 91 battery isn’t actually a typical size and unquestionably not one you can discover effectively in a profound cycle design or, at any rate not as of not long ago. Recuperation GEAR: A Must Have Prior to Hitting the Trails November 27th, 2012 In the event that theres one inquiry I get posed to constantly from new Jeepers its, â€Å"what’s the primary mod I ought to do to my Jeep?† And, my response to them is consistently the equivalent, â€Å"recovery gear†. Truth is, regardless of whether you’re new to the universe of going 4x4 romping with a privilege off the show room floor stock Jeep, or quite a while veteran with a profoundly adjusted developed path rig, everybody gets into a jam at some point or another. Dynatrac Now Accepting Pre-Orders for the ProRock 80 November fifteenth, 2012 One of the serious issues confronting JKU proprietors is vehicle weight. These apparatuses get substantial quick. An ever increasing number of proprietors are going to full drifting axles to all the more likely help the heaviness of their apparatuses. Simultaneously, tire sizes are getting bigger and, joined with an overwhelming vehicle weight, the apparatuses are moving beyonâ the toughness of a HP 60 rigging set. This is the reason the PR80 may be the correct choice for your JK. 2012 SEMA Spotlight Group FOUR WHEELER EVO Built eBay 1 November 08th, 2012 Probably the greatest feature of the 2012 SEMA Show was to see the divulging of eBay 1, the BUILT from eBay Team FOUR WHEELER Magazine, EVO fabricated 1971 Jeepster! 2012 SEMA Show Spotlight ARB Stubby Front Bumper, INTENSITY Lights Roller Drawer Storage Boxes November 07th, 2012 We got an opportunity to find Seth Green over at ARB and he gave a summary on a portion of the new items they were discharging at the 2012 SEMA Show in Las Vegas, Nevada. 2012 SEMA Show Spotlight Nitto Tire KoH K-Spec Trail Grappler M/T November 07th, 2012 In the wake of making its presentation at the 2012 King of the Hammers Ultra 4 Race in Johnson Valley, CA, and after about a time of broad testing by Off Road Evolution, Nitto Tire has chosen to discharge the profoundly wanted K-Spec Trail Grappler M/T in a DOT endorsed elastic compound. 2012 SEMA Show Spotlight Caution Zeon Winches November 06th, 2012 For the 2012 SEMA Show, WARN discharged a shiny new line of premium winches called the ZEON. Upgraded starting from the earliest stage, this new line of winches are accompanied a large group of new highlights to go with their cutting edge new look. EnerSys ® Launches ODYSSEY ® Execution Seriesâ„ ¢ Batteries November 06th, 2012 Planned with a similar rough development as ODYSSEY ® Extreme Seriesâ„ ¢ batteries, the new ODYSSEY ® Performance Seriesâ„ ¢ batteries offer proportionate profound cycling abilities, long assistance life and high unwavering quality. PSC 2012-Up Jeep JK Wrangler 3.6L High Volume Steering Pump November 06th, 2012 This is one official statement from PSC that Ive been looking out for a long while now. On the off chance that you have a 2012 or more up to date and running 37s or greater tires, you would now be able to run one of their smash help and run a siphon to control it as well. Public statement: ARB Jeep JK Wrangler Stubby Bar October 23rd, 2012 The Jeep Wrangler JK thickset bar has been created for the 4x4 fan who is after a winch stage all while keeping up most extreme freedom for bigger width tires. For the most part vehicles that run bigger than 35 inch tires may rub the tire on the wings of a customary style ARB Deluxe bar. The JK Stubby Bar takes out this issue on the Jeep JK since the bar is just as wide as the vehicles grille board. EVO MFG LCG Bolt-On Coilover Kits Presently AVAILABLE!! June fourteenth, 2012 With an establishment in the first and most demonstrated coilover frameworks for the Jeep JK, EVO MFG presents to you its new LCG Bolt-On Coilover System. The EVO LCG Bolt-On Coilover unit comes total with every single essential part to effectively change over the JK from the restricted curl and stun framework to a far predominant performing coilover framework. With 12† of usable wheel travel, uniquely constructed sections for the most reduced focus of gravity and EVO’s amazing SPEC valving and spring rates, the EVO LCG Bolt-On Coilover framework demonstrates to set the bar, for simplicity of introduce, cost and execution. Truck-Lite Old Style versus New LED Headlight One next to the other Test Review April thirteenth, 2012 I know a great deal of you have been hanging tight for this and, Im glad to state that last night, we at long last got an opportunity to do a next to each other correlation trial of the all NEW Truck-light Complex Reflector Optics Design LED Headlights versus the first LED Headlights that theyve had out for some time now. What's more, in the wake of doing the test, this is the thing that I can let you know. J.E. Reel Offers Must-Have Driveshaft Solutions for Lifted 2012 Jeep Wranglers February 23rd, 2012 Pomona, CA †The new 3.6L Pentastar motor in the 2012 Jeep Wrangler JK is one of the most much needed developments to the well known JK since their presentation in 2007. Be that as it may, the situation of the new motor in the case makes some one of a kind difficulties when driveline edges are changed even somewhat from stock, similarly as with a lift unit. Just J.E. Reel offers strong must-have driveshaft answers for lifted 2012 JKs. TeraFlex JK Tera44 Front Replacement Axle Housing October 28th, 2011 TeraFlex Inc., producer of TeraFlex suspensions, body security hardware, low range equipping and HD axles, presents the most current substantial part for the JK Wrangler. NEW! Full-Traction Suspension Jeep JK Wrangler 3.0†³ Ultra Plus 0% Maintenance SRS System August 31st, 2011 Full-Traction Suspension presents the most up to date in a progression of unrivaled built suspension frameworks for the new 2007-2012 Jeep JK Wrangler 2-Door/4-Door. The New SRS Ultra Plus Silent Ride System. Security Redefined Rough Country JK Front Bumper w/Recessed Winch Plate July 06th, 2011 Unpleasant Country Suspension  ® Products is pleased to report The JK Front Bumper with recessed winch plate and incorporated haze light mounts. Bestop New HighRock4Ãâ€"4â„ ¢ Narrow Front Bumper June 28th, 2011 Outrageous, going 4x4 romping clients requested a quality made guard with more tire freedom and Bestop replied with new HighRock4Ãâ€"4 Narrow Front Bumper. This exclusively manufactured guard highlights tightened closures to ace outrageous tire freedom and handles any impediment that a stone can through at it. Produced using a similar quality craftsmanship Bestop is known for, the new Narrow guard highlights 3/16† laser cut stepped steel MIG-welded development with E-coat in addition to wrinkle finish and powder-coat for prevalent assurance and exceptional strength. Full-Traction Suspension CRC Link April eighteenth, 2011 Full-Traction Suspension reports the arrival of its freshest suspension development for the JEEP JK Wrangler The new CRC Linkâ„ ¢-(Constant Roll Center). It’s Full-Tractions rough terrain adjustment for the JEEP JK of the completely demonstrated Watts Link Design. (Google it, it’s all over the place) NEW Mile Marker Recovery Gear Walk 06th, 2011 New for 2011, Mile Marker dispatches another line of RECOVERY GEAR to set you up for the inescapable when you adventure off in an unexpected direction. These vital units highlight premium parts, and are housed in strong sacks that were designed to fulfill the needs of the outrageous conditions that they will confront. When it’s your vehicle and your security in risk, pick the rigging that was intended to get you back on course the first run through, yet tough enough to carry out the responsibility for a lifetime. NEW Full-Traction Suspension Jeep JK Wrangler Hard core Track Bar Bracket Cross Brace Walk 05th, 2011 NEW from Full-Traction Suspension is our Jeep Wrangler 2007 †2011 JK Heavy Duty Track Bar Bracket Cross Brace Solution. This Heavy Duty Bolt-On Track Bar section and cross support unit includes a gigantic 3/sixteenth CNC Laser Cut plate steel around the slim production line outline derail section. The cross support includes a .120 divider DOM support for extra quality. NEW Full-Traction Suspension Jeep JK Wrangler Range Arm Rescue Geometry Correction Kit Walk 03rd, 2011 Full-Traction Suspension is glad to report the presentation of their all NEW 2007â€2011 Jeep JK Wrangler Radius Arm Rescue Geometry Correction Kit. This unit is intended to take a current front span arm suspension framework and changes over it to being a top notch 4-interface framework. NEW: Full-Traction Suspension 3†³ Economy Plus Jeep JK Wrangler Suspension System January 24th, 2011 Our Economy 3 Lift is the straightforward and economical approach to clear bigger tires up to 3512.50, increment ground freedom, and improve suspension explanation without major drivetrain change. PUREJEEP All NEW Jeep JK Wrangler Skidplates January 09th, 2011 JK 2/4-DOOR ENGINE SKIDPLATE a definitive in JK motor security is here! Our all new JK motor slip plate shields the motor and transmission from rocks and trail harm. Laser cut from 3/16†³ plate steel and accuracy framed to mount in minutes with the included oil dish bolster support. The slide and mount are done in semi-shine dark powdercoat and boats total with directions and all fundamental equipment. Will work related to our Transfer Case and Gas Tank

Stopping The Glorification of Busy In College

Stopping The Glorification of Busy In College In college, it can be hard not to get caught up in the competitive atmosphere. It seems like every day there’s a scholarship to apply for, jobs to get, internships to fight for, etc. This as well as the nature of college at times can lead to the glorification of busy. You know, the “praise” of getting no sleep, taking seven classes while working three jobs, and being involved in ten student organizations? Okay, that might have been a tad bit dramatic, but you get the point. The constant feeling that you’re not “doing enough” or accomplished enough is a harmful and common effect of the glorification of busy. With this feeling of self-doubt and the need to add more to one’s schedule being a norm for college students, it’s about time we be honest about how detrimental the glorification of busy is to our well-being. Here are five things that I’ve learned about the glorification of busy and how to avoid it while at college! 1. Someone else’s success and schedule does not undermine your own. College can become a sort of petri dish for glorifying being busy and the comparison of achievements and schedules among peers. Sometimes, while hearing everyone else talk about their schedules and what amazing things they did over the summer, you’ll find yourself beginning to doubt your own success and questioning if you’re “doing enough” to get where you want to in life. Even having these thoughts and self-doubts can be harmful, as some people even begin to wonder if the sheer fact that they’re having doubts is a bad sign. But the truth is that everyone is having doubts sometimes, and thoughts about whether or not youre “doing enough” does not make you lesser than anyone else.   With that being said, its extremely even more crucial to remember that it’s not healthy or even fair to yourself to compare your successes and schedule to anyone else’s. The point of your college experience is to give it your all, and everyone’s best work looks different. No two people have the same goals, obligations, ways of learning, etc. If you’re doing your best and prioritizing your well-being while you’re at it, you have nothing to worry about. I find that staying focused on my own personal goals helps keep myself in check when it comes to comparing myself to others. It’s also never a bad idea to celebrate your own achievements of all sizes as a little reminder of how great you are! 2. No, not sleeping isn’t cool or worth it. In high school (and to be honest, while in college as well) I have and continue to struggle with prioritizing sleep. So much so that I made myself sick from such a lack of rest. I remember my mom telling me one day though that I would either sit down or fall down, but either way there was nothing I could do about it because my body needs to rest. It’s been four and a half years since she told me this, and I’m glad she did because it has stuck with me ever since. The essence of my mom’s words were that I cant always be go, go, go. At some point, I have to stop, sit down, and let my body recover, or else it’ll force me to, like how it did that day in high school. That is the moment that I began learning about how important sleep is. We spend so much time in college talking about how few hours of sleep we got that week, but these conversations really don’t address the issue of how getting so little sleep should not be normalized. College students everywhere are responsible for hours upon hours of schoolwork on top of extracurriculars and jobs, which can make getting enough sleep really tricky. This is why it’s important to keep in mind those eight hours of sleep you need every night when you’re choosing your classes, work schedules, and signing up for student organizations. Don’t let the glorification of busy get to you hereâ€"if you won’t be able to get enough sleep (or eat three meals a day!) with the schedule you have set out in front of you, change it. Self-preservation is vital to our success and overall happiness, and getting enough sleep is a good first step at this. 3. Constantly being busy isn’t good for your health. Ah, and here comes the truth that no one wants to hear, including myself. When you’re constantly busy and doing a million things all at once, you’re at risk of depleting your health. Now I admit, I am the type of person who likes being busy. But I have learned recently that having some planned downtime every day and every week is really beneficial. Constantly being busy is typically stressful, and too much stress can lead to several illnesses ranging from the common cold to insomnia to increased anxiety. No one wants any of those things. It’s important to give yourself some time to just stop and do stuff that makes you happy or helps you feel calm.   Personally, I like to declare mealtime as me time as well. I don’t allow myself to do any work whenever I’m eating a meal, especially at dinner. This gives me at least half an hour every day to just sit down and watch YouTube videos or Netflix (if you’re not watching The Great British Baking Show you should be. Don’t judge.) I highly recommend finding a way like this to integrate some relaxation time into your daily schedule. It could be fifteen minutes of mindfulness in the morning or at night, or some scheduled TV time. Regardless, remember that a busy schedule doesn’t necessarily equate to a happy or successful schedule. So give yourself time to relax and stop being busy. Taylor Class of 2021 Hey y’all, I’m a History and Gender and Women Studies double major and a French minor from Chicago! I concentrate in all things Black and Black women studies and love long-distance running.

Nike Unethical Practices - 1287 Words

NIKE Introduction The declaration by Philip H Knight that he would discontinue financial aid to the University of Oregon was a major issue that attracted the attention of the world media. That Mr. Knight had chosen to cut links with his alma mater was an issue that was greatly analyzed not just because of the business compulsions that hid behind the decision, but because the issue was important to understand the attitude of multinational companies towards business ethics. custom essays Analysis Nike was under international pressure from various communities and non-governmental organizations on the issue of practicing unethical business tactics to enhance profits. For example Nike, which outsources most of its manufacturing tasks to†¦show more content†¦The company on the contrary maintained that it was only outsourcing its manufacturing operations to the Asian firms and that the situation in these companies was not under its direct control. However, the public debate and alienation directed against the company was mounting slowly and soon the company managers felt the need to revamp the image of the company in order to arrest the sliding morale of the companys executives. This was particularly necessary because prominent media houses started specifically attacking Nikes policy to not to interfere in the affairs of its franchisees. Nike, which had a good reputation among youngsters, also started gaining reputation as a badly managed company that exploited the econom ic weaknesses of the South Asian regions. No explanations of the company that it could not interfere with the local operations could convince the US public which believed that the company could enforce ethical work culture if it so desired. Even the high profile advertisements that the company used to its advantage started to get negative appeal in the US markets and that is when the company decided that it had to do something about the deteriorating work conditions in its co-concerns. Nike was initiated into action to promote good work culture when a furore was created on the issue of child labor in Pakistan. Nike immediately compelled its associates to prevent child labor in its factories. This was an important step that let the companyShow MoreRelatedUnethical Business Practice: Nike1499 Words   |  6 Pages The role of the government also plays a major role in these challenges that are faced by Nike. As we know that government laws and regulations differ from country to country and this makes manufacturing of products very difficult challenge for the international companies like Nike. The host governments have laws concerns against consumer protection, information and labeling, employment, wages and salaries and safety of the workers who work in those firms. The international organizations must keepRead MoreEthical Companies with Unethical Practices Essay1514 Words   |  7 PagesEthical Companies with Unethical Practices Introduction American business should not be permitted to claim it is an ethical firm if it ignores unethical practices by its international suppliers. For the purpose of this assignment I will use the Nike Company to highlight its unethical practices. Despite the popularity of Nike in the American market, it has been accused of exploiting employees abroad. The corporate social responsibility stipulates that a company should maximize its profit and minimizesRead MoreEthics in Business: Overview of Nike Essay599 Words   |  3 Pagesfail to remain ethical in their activities, because they are too concerned with profits. Nike Inc. is a worldwide company that is very famous for their designs and apparel wear, also it is a multination corporation that is engaged in the design and marketing. However Nike has pros and cons in some of their actions have been questionable. History of Nike Before there was a Nike Inc., before there was the swoosh Nike was founded by Bill Bowerman a nationally respected track and field coach at the universityRead MoreSocial responsibility and Ethics in International Business Essay1392 Words   |  6 Pagesassociated resource savings. Nike, Inc. The objective of this paper is to study the social responsibilities and ethics that Nike, Inc. has produced over the last few years. As business become international, there are apprehensions on ethics and social responsibilities directed by managers and the organizations they operate (Griffin Pustay, 2010). Nike is a seller of athletic footwear and athletic apparel globally. The corporation sells its products to retail accounts, through Nike owned retail storesRead More Challenges of a Global Business Essay1176 Words   |  5 Pagesextensive research, negotiation, and compromise done before it can be finalized. Even though not all standards meet those of the United States, some companies continue to make business abroad. Some companies when investigated and found guilty of unethical behavior, blame their actions on not knowing about it or on the subcontractor or supplier. It is inevitable to avoid ethical issues when conducting global business. This is mainly because of different iation of foreign laws, regulations, and policiesRead MoreNike Case Study Essay856 Words   |  4 PagesNike Case Study 1.) List the various macro-environmental factors that influence Nike’s strategy. Which seem most pertinent? The macro-environmental factors that influence Nike’s strategy include culture, demographics, social issues, technological advances, economic situation, and political and regulatory environment.    Culture is the shared meanings, beliefs, morals, values and customs of a group of people. In America, Nike has become an industry leader that influences our culturalRead More Leadership Ethics and Culture Essay1587 Words   |  7 Pagesan ethics and compliance program in place however there was a missing link between leadership and the enforcement of the program. In other words, Siemens leadership chose to ignore their established ethics and compliance program which created an unethical environment. Kellogg Brown and Root (KBR) a subsidiary of Halliburton headquarters in Houston, Texas is an international, technology-based engineering and construction company. The company provides a full spectrum of industry-services to the hydrocarbonRead MoreCross Cultural Perspective – Nike Corporation Essay1121 Words   |  5 PagesPerspective – Nike Corporation In this essay, I will attempt to present an analysis of the ethics and social responsibility issues that an organization can face when it is a global organization. One of the most recognized organizations globally would without a doubt have to be the Nike Corporation. Several years ago the Nike Corporation came under fire for using child labor in Pakistan and Cambodia to make their soccer balls. Because Nike came under fire for this unethical and inhumane practice, the organizationRead MoreNike Ethics and Human Violations1308 Words   |  6 PagesLike other large corporations, Nike looked to expand their operations outside North America. Many companies do this because of the law and wage demands of the United States making overseas operations very appealing. Employment laws are scarce and labor is cheap in most third world countries and can be easily become targeted by giant corporations such as Nike. In the beginning, Nike probably selected countries like Indonesia and Vietnam because of the vast poverty level and wage demand given theRead MoreEthical And Ethical Challenges Of Organizations1536 Words   |  7 Pagesthe profit. With globalisation and technological advances, it can put a stress on some companies as they always need profit and market share to be successful and grow. â€Å"Individual managers (tone at the top) play an essential role making sure (that unethical behaviour) doesn t happen,† (Heskett, 2011). Companies rely on their top managers to make these hard decisions about ethics. Though the company had these values and views it is the managers who make the decision for the business. Hence companies

Stippling - Art Definition

As a transitive verb,  the act of stippling involves covering an area with dots. What comes right to mind is a wildly time-consuming technique, done with a technical pen and ink (usually black), in which an image is drawn dot by dot by dot. (One may also stipple glass, an engraving plate, a quilt, or even an interior wall.) The resulting image contains no lines. It is a collection of dots, strategically placed to suggest forms, shapes, contrast, and depth. It is left to the viewers eye to complete the picture—a proposition which seldom fails. Stippling is also the manual forerunner of Benday dots and halftones. (For you younguns out there, these were graphic image tools employed before the advent of the computer pixel.) Similar Technique Pointillism is a close relative of stippling, in which the artist, using brushes and different colors of paints, creates an entire composition out of dots. As a noun in this instance, stippling is what one sees, and is the end result of someone using stippling as a verb.

Dementia Free Essays

string(132) " potential involvement of leptin signaling in Alzheimer’s disease based on work published by several laboratories including ours\." Dementia Dementia  has become an all-important  disease  because the population is aging rapidly and the cost of health care associated with  dementia  is ever increasing. In addition to cognitive function impairment, associated behavioral and psychological symptoms of  dementia  (BPSD) worsen patient’s quality of life and increase caregiver’s burden. Alzheimer’s  disease  is the most common type of  dementia  and both behavioral disturbance and cognitive impairment of  Alzheimer’s  disease  are thought to be associated with the N-methyl-D-aspartate (NMDA) dysfunction as increasing evidence of dysfunctional glutamatergic neurotransmission had been reported in behavioral changes and cognitive decline in  Alzheimer’s  disease. We will write a custom essay sample on Dementia or any similar topic only for you Order Now We  reviewthe literature regarding  dementia  (especially  Alzheimer’s  disease), BPSD and relevant findings on glutamatergic and NMDA neurotransmission, including the effects of memantine, a NMDA receptor antagonist, and NMDA-enhancing agents, such as D-serine and D-cycloserine. Literatures suggest that behavioral disturbance and cognitive impairment of  Alzheimer’s  disease  may be associated with excitatory neurotoxic effects which result in impairment of neuronal plasticity and degenerative processes. Memantine shows benefits in improving cognition, function, agitation/aggression and delusion in  Alzheimer’s  disease. On the other hand, some NMDA modulators which enhance NMDA function through the co-agonist binding site can also improve cognitive function and psychotic symptoms. We propose that modulating NMDA neurotransmission is effective in treating behavioral and psychological symptoms of  Alzheimer’s  disease. Prospective study using NMDA enhancers in patients with  Alzheimer’sdisease  and associated behavioral disturbance is needed to verify this hypothesis. Mental disorders constitute a huge social and economic burden for health care systems worldwide [1], raising the question of effective and lasting treatments. Physical activity (PA) and exercise (EX) continue to gain the attention of practitioners and researchers with regard to prevention and treatment of different psychopathological abnormalities. In the general population, several epidemiological studies have found significant cross-sectional correlations between mental health and PA levels. In an adult US population, regular PA is associated with a significantly decreased prevalence of current major depression, panic disorder, agoraphobia, social phobia, and specific phobia [2]. A study from Norway confirmed this negative cross-sectional association between depression and leisure-time PA of any intensity (not work-related PA), and pointed out that social factors such as social support, rather than biological markers, play an important role [3]. Recently, a Dutch study replicated this finding, reporting lower rates of any affective, anxiety, or substance use disorder in subjects who exercised at least 1 h/wk, without finding a linear dose-response relationship [4]. Prospectively, the overall incidence of mental disorders and co-morbid mental disorders, as well as the incidence of anxiety, somatoform, and dysthymic disorder, decreases by PA [5]. Furthermore, a four-year prospective study revealed that PA decreases the incidence rates of depressive and anxiety disorders in older adults [6]. Finally, ten Have et al. reported in their epidemiological study that patients engaging in regular PA were more likely to recover from their mental illness at a three-year follow-up In psychiatric patients, different mechanisms of action for PA and EX have been discussed: On a neurochemical and physiological level, a number of acute changes occur during and following bouts of EX, and several long-term adaptations are related to regular EX training. For instance, EX has been found to normalize reduced levels of brain-derived neurotrophic factor (BDNF) and therefore has neuroprotective or even neurotrophic effects [7-9]. Animal studies found EX-induced changes in different neurotransmitters such as serotonin and endorphins [10,11], which relate to mood, and positive effects of EX on stress reactivity (e. g. , the hypothalamus-pituitary-adrenal axis [12,13]). Finally, anxiolytic effects of EX mediated by atrial natriuretic peptide have been reported [14]. Potential psychological mechanisms of action include learning and extinction, changes in body scheme and health attitudes/behaviors, social reinforcement, experience of mastery, shift of external to more internal locus of control, improved coping strategies, or simple distraction Several prospective studies have found that a high level of PA seems to delay the onset of dementia (see [74] for a review). Since improvements in strength and endurance after training were found in cognitively impaired patients as well as healthy controls [75], PA interventions are generally feasible in this population. For Alzheimer’s disease (AD), preliminary evidence suggests that EX interventions may improve communication performance [78], Mini Mental State Examination scores and verbal fluency [79], and disruptive behavior [80]. Four studies [81-84] found that PA slowed down and partially reversed the decline in performance of activities of daily living and progression of the cognitive symptoms related to dementia, in contrast to an older study, which did not find improvements in functional ability [85]. Zschucke , E. and Gaudlitz, K. Exercise and Physical Activity in Mental Disorders: Clinical and Experimental Evidence Zschucke , E. and Gaudlitz, K. (2013) Exercise and Physical Activity in Mental Disorders: Clinical and Experimental Evidence. Journal of Preventative Medicine and Public Health  , 46 (1), p. 12-21. Available at: http://www. ncbi. nlm. nih. gov/pmc/articles/PMC3567313/ [Accessed: 6th Mar 13]. Leptin, an adipocytokine produced in the peripheral system as well as in the brain, is implicated in obesity, food intake, glucose homeostasis, and energy expenditure. Leptin expression levels and signaling pathways may also be linked to the pathophysiology of neurodegenerative diseases including Alzheimer’s disease. Epidemiological studies have demonstrated that higher circulating leptin levels are associated with lower risk of dementia including Alzheimer’s disease, and lower circulating levels of leptin have been reported in patients with Alzheimer’s disease. Leptin receptors are highly expressed in the hippocampus, a brain area involved in learning and memory and severely affected during the course of Alzheimer’s disease. In laboratory studies, several in vivo and in vitro studies have shown that leptin supplementation decreases amyloid-? (A? ) production and tau phosphorylation, two major biochemical events that play a key role in the pathogenesis of Alzheimer’s disease. In this review, we will review the structure of leptin, the type of receptors of leptin in the brain, the various biological functions attributed to this adipocytokine, the signaling pathways that govern leptin actions, and the potential role of leptin in the pathophysiology of Alzheimer’s disease. Leptin exerts its functions by binding to the leptin receptor (ObR). This binding can involve several signaling pathways including JAK/STAT pathway, ERK pathway and the PI3K/Akt/mTOR Pathway. Modulation of these pathways leads to the regulation of a multitude of functions that define the intricate involvement of leptin in various physiological tasks. In this review, we will specifically relate the potential involvement of leptin signaling in Alzheimer’s disease based on work published by several laboratories including ours. You read "Dementia" in category "Papers" All this work points to leptin as a possible target for developing supplementation therapies for reducing the progression of Alzheimer’s disease. Leptin is a 146 amino acid protein with a molecular weight of 16 kDa encoded by the  ob  gene and primarily, but not exclusively, expressed by the white adipose tissue (WAT) and is implicated in obesity, food intake, and energy homeostasis. Leptin protein was discovered by the molecular geneticist Jeffrey Friedman in 1994 at Rockefeller University and the work was published in a landmark  Nature  paper in December 1994 [1]. The human  ob  gene has been mapped to chromosome 7q31. 3 [2] and encodes a 4. 5 kb mRNA transcript that is translated into a 167 amino acid peptide and subsequently processed in the ER into the 146 amino acid mature leptin protein [1]. Antecedent to the discovery of the leptin protein and positional cloning of the  ob  gene in 1994, the  ob/ob  mouse characterized by hyperphagia and a marked obese phenotype was serendipitously discovered by animal caretakers in 1950 at Jackson Laboratories [3]. It was the general consensus that the  ob/ob  mouse possessed a mutation in the  obgene, but this was not elucidated and unequivocally established until the discovery of the leptin protein and mapping of the  ob  gene by Friedman and colleagues in 1994 who showed that the mutation resulted in the loss of leptin production. In 1966, the  db/db  mouse was discovered, again at Jackson Laboratories, which not only exhibited a similar hyperphagic, obese phenotype, but also hyperglycemia [4]. Tartaglia and colleagues in 1995 showed that the  db/db  mouse phenotype can be attributed to the mutation in the  db  gene that codes for the long-form of the leptin receptor obRb [5]. However, it was the seminal work of Doug Coleman and colleagues who demonstrated by a series of parabiosis experiments using  ob/ob  mice and  db/db  mice pairs and established that the  ob/ob  mice lacked a circulating factor whereas the  db/db  mice produced the circulating factor but were not able to respond to it [6,7]. The validity of these breakthroughs was affirmed by subsequent discovery of the leptin protein and cloning of the  ob  gene [1] as well as the cloning of the  db  gene which coded for the long-form leptin receptor obRb [5]. Further corroboration emanated from the finding that the  db  mice produced the truncated form of obRb that was incapable of transducing leptin-mediated intracellular signal transduction [8-12] and administration of exogenous leptin obviated the obese, hyperphagic, hypothermic, and hypometabolic phenotype in  ob/ob  mice [13-15]. Go to: ————————————————- Leptin – structure, expression, and secretion The crystal structure of leptin has revealed the secondary and tertiary structure of the leptin molecule. The three dimensional crystal structure of leptin depicts the presence of four antiparallel ? -helices (A, B, C, and D) [16]. Two long crossover loops connect the A-B and C-D ? -helices, while a short loop connects the B-C ? -helices [16]. The entire leptin molecule is oblong shaped with the dimensions of 20x25x45 A0[16]. The entire molecule comprising of the bundle of four ? -helical loops adopts a bilayered stratified structure with ? helices A-D in one layer contiguous with ? -helices B-C in the other layer [16]. The conformation adopted by the leptin molecule results in the surface emergence of a few key hydrophobic residues like Phe41, Phe92, Trp100, Trp138, and Leu142  which not only play an indispensable role in the regulation of solubility and aggregation kinetics of the leptin protein, but are also critically requisi te for as well as modulate the binding of leptin to the leptin receptor and determine the binding kinetics of the leptin-leptin receptor interaction [16]. The three dimensional four-helical bundle crystal structure of leptin exhibits an overt, conspicuous congruence with other cytokines such as growth hormone (GH) [17], leukemia inhibitory factor (LIF) [18], and G-CSF (G-colony stimulating factor) [19], despite lack of primary sequence homology with these proteins or other proteins [1]. Leptin is expressed primarily by the white adipose tissue [1,20] and circulating leptin levels are proportional to the white adipose tissue mass [21,22]. In humans, leptin expression in the subcutaneous adipose tissue is significantly more in magnitude than omental adipose tissue [23-26]. Other studies have demonstrated no difference in leptin expression between the subcutaneous and omental adipose tissue [27]. Leptin expression in humans also exhibits sexual dimorphism with circulating leptin levels about 3-fold greater in females than males [25,28,29]. It is now certain that other tissues also produce leptin, including stomach [30,31], mammary gland [32], human placenta [33], ovaries [34], heart [35], skeletal muscle [36], pituitary gland [37], and the brain [37-39]. In the brain leptin mRNA expression and immunoreactivity has been seen in the hypothalamus, cortex, dentate gyrus and the hippocampus of the rat [38,39]. Leptin immunoreactivity has also been reported in the mouse and hamster brain [40]. Leptin expression and circulating leptin levels are primarily contingent on the white adipose tissue mass [21,22] and are significantly elevated in obesity [21,22,41,42]. Consistent with this observation, weight loss is associated with a decrease in leptin levels in the plasma [22]. Leptin levels in the plasma also fluctuate in an ultradian manner and exhibit diurnal rhythm [43,44]. Leptin secretion occurs in a pulsatile rhythm with ~30 pulses of leptin secretion in a 24-hour cycle [43,45]. Acute caloric restriction reduces leptin levels by ~30% within 24 hours [46-48] whereas caloric excess elevates leptin levels in the plasma by ~35% within 5-8 hours [47]. Therefore, nutritional intake regulates leptin expression in an acute as well as chronic fashion. The physiological and hormonal parameters that increase leptin expression include obesity [21,22,41], overfeeding or excess caloric intake [49,50], insulin [51-55], glucocorticoids [51,52,56,57], glucose [58], tumor necrosis factor ? (TNF? ) [54,59], estradiol [60-62], and IL1 [63,64] among others. The physiological and hormonal factors that decrease leptin expression include androgens [61,65], acute caloric restriction [49,50], growth hormone [66-69], somatostatin [68,70], exposure to cold temperatures [50,71,72], ? 3  adrenergic agonists [70,73-76], long-term exercise [77,78], cAMP (51, 57), PPAR? agonists such as thizolidinediones Pioglitazone, Troglitazone, and Rosiglitazone [79], and free fatty acids [80] among others. Go to: ————————————————- Leptin receptors Leptin receptors (obR) are encoded by the  db  gene [5]. The obR are transmembrane spanning proteins that transduce and mediate leptin signaling. The obR exhibit structural and functional homology to the class I cytokine receptors [81,82]. The obR along with other class I cytokine receptors are typified by the characteristic presence of four cysteine residues and a â€Å"WSXWS† motif [81,83] which are a part of multiple fibronectin Type III subdomains in their extracellular domains [84]. The obR transcript undergoes alternate splicing to generate six different receptor isoforms (obRa – ob-Rf) [11]. The six isoforms of obR are distinguished by and exhibit very little homology in their intracellular domain [85]. However, all the six isoforms have the same extracellular domain of over 800 amino acids and a transmembrane domain that spans 34 amino acid residues [85]. The six isoforms of obR are pigeonholed into three different groups, namely – short form, long form, and secreted obR [85]. The short-form of obR subsuming obRa (894 amino acids), obRc (892 amino acids), obRd (901 amino acids), and obRf (896 amino acids) possess a short 30-40 amino acid residue intracellular domain [85]. bRb (1162 amino acids) is the only functionally active leptin receptor isoform capable of transducing leptin signaling as it contains an intracellular domain that spans ~280 amino acid residues [5]. The obRe isoform (805 amino acids) lacks the intracellular domain and is therefore classified as a secreted soluble receptor and functions as a buffering system involved in the transport of leptin an d bioavailibility of free circulating leptin [86,87]. The short isoforms obRa, obRc, obRd, and obRf are abundantly expressed in the choroid plexus and endothelial cells of the brain microvasculature that form the BBB and may therefore regulate the flux of leptin across the BBB [88,89]. obRb is pervasively expressed in the human and rodent brain with the highest density in the ventromedial, arcuate, and dorsomedial hypothalamic nuclei [90-93]. obRb is termed the long-form leptin receptor and is solely responsible for propagating signal transduction mechanisms initiated by leptin [5,94]. The short forms of the leptin receptor ob-Ra, ob-Rc, obRd, and obRf are devoid of intracellular signaling motifs that are obligatory for signal transduction [5]. However the short form receptors obRa and obRc are highly expressed in the choroid plexus and it is speculated that they mediate the uptake of leptin across the BBB (88, 89). obRb expression has been reported in several regions of the rodent and human brain including the hypothalamus [90,92,93], hippocampus, brain stem (nucleus of the solitary tract and the dorsal motor nucleus of the vagus), amygdala and the substantia nigra [92,93,95,96]. In the hippocampus leptin receptor immunoreactivity is observed in the CA1/ CA3 region and the dentate gyrus [95,97]. Furthermore, axonal and somato-dendritic regions and hippocampal synapses exhibit leptin receptor immunolabeling in primary hippocampal cultures [97]. Go to: ————————————————- Biological and physiological functions Leptin was discovered as the endogenous hormone that precludes obesity and regulates energy homeostasis [1]. Antecedent to the discovery of leptin in 1994, about two decades ago, Doug Coleman had posited the role of a circulating hormone that thwarted obesity via its action in the brain to regulate food intake and energy homeostasis and in the peripheral tissues to regulate energy catabolism, thermogenesis as well as basal metabolism [7]. This was corroborated in the mid 1990s after the discovery of leptin by studies that demonstrated in rodents that administration of exogenous leptin decreased food intake and augmented energy expenditure [13-15,98,99]. Leptin administration augments energy expenditure by actuating the ? -oxidation of fatty acids in the mitochondria and also inducing the expression of enzymes involved in ? -oxidation [100]. However, the notion that high levels of leptin augment weight loss and circumvent obesity must be tempered with the fact that high endogenous leptin levels have been effete in thwarting obesity in humans and other mammals [21,22,41]. This can be ascribed to a phenomenon termed â€Å"leptin resistance† [101-103]. Leptin plays a pivotal role in the induction of puberty and fertility. Leptin reinstates puberty, restores fertility in  ob/ob  mice, escalates puberty and fosters reproductive behavior in wildtype rodents [104-107]. Leptin directly regulates the hypothalamic-pituitary-gonadal (HPG) axis by inducing gonadotropin release and modulating estradiol production in the ovarian follicles [108,109]. Leptin also regulates the hypothalamic-pituitary-adrenal (HPA) axis by attenuating corticotrophin releasing hormone (CRH) production and release [110,111] as well as directly inhibiting ACTH (adrenocorticotropic hormone)-induced glucocorticoid release from the adrenal cortex [111-113]. Leptin is also integrally involved in the physiological homeostasis of the circulatory system. Emerging evidence implicates leptin in hematopoeisis as leptin is involved in proliferation and differentiation hematopoietic precursors [114-116]. Higher plasma levels of leptin (~100ng/mL), suchas those observed in obese individuals, foster and promote platelet aggregation [117]. Leptin is also one of the most potent inducers of vascular epithelial cell growth and angiogenesis and the short forms and the long-form of the leptin receptor is abundantly expressed in the vasculature [117-119]. Go to: ————————————————- Leptin function in the brain Hypothalamus Leptin signaling in the hypothalamus regulates food intake and energy homeostasis in mammals. The arcuate nucleus (ARC), dorsomedial nucleus (DMH), and the ventromedial nucleus (VMH) of the hypothalamus express the obRb in the greatest density. In the ARC, the obRb is abundantly expressed in two disparate neuronal cell types, ones that express neuropeptide Y (NPY) and agouti-related peptide (AgRP) and the others that express pro-opiomelanocortin (POMC) [92,120-122]. Leptin induced activation of the obRb in the POMC neurons results in depolarization and increased biosynthesis of ? -melanocyte-stimulating hormone (? -MSH) which signals downstream by actuating the melanocortin system comprising of melanocortin-3-receptors (MC3R) and melanocortin-4-receptors (MC4R) expressed by the second order neurons downstream to evoke an anorexiogenic (decreased appetite) response [122-127]. Activation of the melanocortin pathway not only suppresses appetite but also increases energy expenditure by increasing sympathetic tone resulting in ? oxidation of fatty acids in skeletal and adipose tissue. While leptin activates the POMC-expressing neurons, the actuation of obRb by leptin in the NPY/AgRP neurons results in the decreased genesis of NPY and AgRP peptides which are orexiogenic (increase appetite) in nature [122,128]. Therefore, in conspectus, leptin signaling in the hypothalamus results in the decreased expression of orexiogenic peptides (NPY, AgRP) and incr eased expression of anorexiogenic peptides (? -MSH) as well as increased energy expenditure in the adipose tissue and skeletal muscle tissue. Hippocampus Leptin receptors are abundantly expressed in the CA1 and CA3 regions of the hippocampus as well as the dentate gyrus [95,97]. Leptin regulates the excitability and firing of hippocampal neurons via the modulation of BK potassium channels [97]. Leptin also improves memory processing and retention when administered directly into the CA1 region in mice [129] and rodents that are deficient in the leptin receptor (db/db  mice and  fa/fa  rats) exhibit profound deficits in spatial learning and memory [129-131]. Treatment of acute hippocampal slices with leptin results in the conversion of short-term potentiation (STP) to long term potentiation (LTP) by enhancing Ca2+  influx through NMDA receptors [132]. Leptin increases synaptogenesis and aids in memory formation in the hippocampus and is purported to be a cognitive enhancer [133]. Leptin also increases neurogenesis in the dentate gyrus of adult mice [134]. Leptin also plays a critical role in hippocampal neuronal survival by activating the PI3K-Akt and JAK2/STAT3 signal transduction pathways [135]. Leptin upregulates the expression of potent endogenous antioxidant enzyme Mn-SOD (manganese superoxide dismutase) and the anti-apoptotic protein Bcl-xL (B-cell lymphoma xL) in a STAT3-dependent manner in the hippocampus [135]. Leptin stabilizes mitochondrial membrane potential and attenuates the glutamate-induced mitigation in mitochondrial membrane potential and also extenuates the free iron-induced augmentation in mitochondrial ROS [135]. Go to: ————————————————- Leptin signaling Leptin binding to its long-form receptor obRb actuates four major signal transduction pathways that are coupled to obRb – JAK/STAT pathway, ERK pathway, PI3K/Akt/mTOR pathway, as well as the AMPK/SIRT1 signal transduction pathways. JAK/STAT pathway Leptin signaling via the obRb is integrally coupled to the JAK2/STAT3, JAK2/STAT5 and JAK2/STAT6 pathways [10]. The long-form of the leptin receptor obRb is constitutively coupled to Janus kinase 2 (JAK2) via the evolutionary conserved domains proximal to the membrane [136]. The binding of leptin to obRb evokes a conformational change in the receptor that actuates JAK2 by phosphorylation at Tyr1007/1008  residues [136]. Activated phosphorylated JAK2 subsequently phosphorylates evolutionary conserved tyrosine residues of obRb [94] at Tyr985, Tyr1077  and Tyr1138  [137,138]. The obRb phosphorylated at Tyr1077  and Tyr1138  serves as a docking site and recruits Srchomology 2 (SH2)- and Src-homology 3 (SH3)-domain comprising roteins that subsume proteins such as Signal Transducer and Activator of Transcription 3 (STAT3), Signal Transducer and Activator of Transcription 5 (STAT5), and Src homology region 2 domain-containing phosphatase 2 (SHP2) [139]. The phosphorylated Tyr1138  residue of obRb recruits STAT3 and STAT5 which are subsequently phosphorylated by JAK2 at Tyr705  and Tyr694  respectively. The phosphorylation STAT3 and STAT5 causes their disengagement from the leptin receptor, results in the dimerization of STAT proteins via their p hosphotyrosine residues in the SH2 domains [140-142], and culminates in their nuclear translocation [142]. In the nucleus, STAT dimers bind to distinct motifs or elements in the DNA called ? -IFN-activated site (GAS) in the enhancer regions of target genes and thereby modulate and regulate gene expression of target genes [142-146]. In the nucleus, the STAT signaling is abrogated by dephosphorylation and subsequent export of STAT proteins from the nucleus to the cytosol [142,144,147] or by targeted degradation of the STAT proteins via the Ubiquitin Proteasomal System (UPS) [148]. The JAK/STAT pathway is negatively regulated by three classes of proteins, namely – suppressors of cytokine signaling (SOCS), protein inhibitors of activated STATs (PIAS), and protein tyrosine phosphatases (PTP) [149]. There are eight members of the SOCS family and their expression is induced by JAK/STAT signaling (STAT3 in particular) thereby suggesting the existence of a negative feedback loop that abrogates JAK/STAT signaling [150]. The SOCS proteins negatively regulate the JAK/STAT pathway by competitively engaging and occupying the phosphotyrosine residues in obRb via their SH2 domains and obviating the recruitment of STAT proteins to obRb, thereby precluding STAT activation [150,151]. SOCS proteins via their SH2 domains also directly bind to JAK2 and extenuate the kinase activity of JAK2 [150,151]. The PIAS proteins negatively regulate the JAK/STAT signaling pathway by impeding the binding of STAT proteins to the response elements in the DNA by physically interacting and binding with STAT proteins via their zinc-binding RING-finger domains [151]. SHP1 and SHP2 are most well characterized protein tyrosine phosphatases implicated in the negative regulation of the JAK/STAT pathway [149]. SHP1 and SHP2 possess two SH2 domains and therefore bind to phosphotyrosines of JAK2 and obRb and effectuate the dephosphorylation of JAK2 and obRb thereby terminating the JAK/STAT signaling [149]. ERK pathway The extracellular regulated kinase (ERK) pathway is an integral part of a larger signaling network called mitogen activated protein kinase (MAPK) pathway that is activated by leptin signaling via the leptin receptor (obRb). While phosphorylation of Tyr1138  and Tyr1077  are both requisite and mediate the activation of STAT3 and STAT5 respectively, the phosphorylation of Tyr985  of obRb mediates the activation of ERK pathway [138]. Leptin signaling via the obRb evokes the actuation of ERK pathway, both centrally and peripherally, as well as in  in vivo  and  in vitro  experimental paradigms [85]. Leptin evokes the activation of ERK pathway by both JAK2-mediated and JAK2-independent signaling effects [94,152]. Contemporary evidence has implicated the protein tyrosine phosphatase SHP2 and the adaptor protein Grb2 (growth receptor bound 2) as the requisite mediators in the leptin-induced activation of ERK signaling pathway [153]. Leptin signaling also activates other members and signaling cascades subsumed under the MAPK signaling pathway, namely p38 [154-157] and JNK pathways [156]. PI3K/Akt/mTOR pathway Leptin signaling also induces the activation of the ubiquitous, pervasive, nutrient-sensitive anabolic, and the broad spectrum PI3K/Akt/mTOR pathway [152,158-161]. Empirical evidence has demonstrated that the adaptor proteins IRS1 (insulin receptor substrate 1) and IRS2 (insulin receptor substrate 2) mediate the leptin-obRb induced activation of PI3K-Akt pathway [94,158,162]. A multitude of studies have demonstrated that leptin induces the activation of Akt via phosphorylation of Akt at Ser473[163,164]. As a consequence, Akt activation is ensued upon leptin signaling which results in inhibition of GSK3? through phosphorylation at Ser9  residue [165-167]. Evidently leptin also activates the serine/threonine kinase mammalian target of Rapamycin (mTOR) in the hypothalamus and macrophages [168,169] through the PI3K-Akt pathway [170]. mTOR is an evolutionary conserved kinase that modulates translation of several mRNA transcripts involved in cell growth and proliferation. mTOR regulates translation by phosphorylation and attenuation of the inhibitor of mRNA translation, eukaryotic initiation factor 4E-binding protein (4E-BP) [171-175], as well as through the phosphorylation and activation of S6 kinase (p70S6K1) [176,177]. TOR is autophosphorylated at Ser2481  and exhibits spontaneous intrinsic kinase activity under the activation of Akt [178,179]. mTOR phosphorylation and activation is negatively regulated by the TSC1/TSC2 protein complex [170]. Akt phosphorylates TSC2 causing disintegration of the TSC1/TSC2 complex which consequently results in mTOR activation [180]. Furthermore, Akt has been shown to directly phosphorylate mTOR at Ser2 448residues and consequently activate mTOR [181,182]. Therefore, Akt positively regulates mTOR activation by direct phosphorylation at Ser2448  as well as by indirect means which involves relieving the repressive effects of the upstream inhibitor TSC1/2 complex. Thus leptin, by virtue of its inherent ability to activate Akt, is expected to increase mTOR phosphorylation and activity. AMPK-SIRT1 pathway The 5’AMP activated protein kinase (AMPK) is the master regulatory kinase termed the â€Å"fuel gauge† that integrates signals from upstream mediators and effectors of hormones and cytokines to maintain metabolic homeostasis [183]. AMPK activation leads to increase ? -oxidation of fatty acids in the mitochondria and inhibition of lipogenesis [184,185]. Multiple lines of evidence have cogently demonstrated that leptin activates AMPK and consequently increases fatty acid oxidation [186-188]. One exception to this is the hypothalamic neurons, where leptin inhibits AMPK activation to evoke satiety and other hypothalamic effects of leptin [189-191]. In general, AMPK plays a catabolic role and engenders energy production via effects on glucose and lipid metabolism. AMPK activation also effectuates the induction of the NAD+  Ã¢â‚¬â€œ dependent deacetylase SIRT1 (silent mating type information regulation 2 homolog) [192,193], a metabolic master regulator unequivocally implicated in ageing and the regulation of lifespan [194-198] as well as regulating metabolism [199,200]. The anorexic effect of leptin mediated by the activation of POMC neurons in the hypothalamus is contingent on SIRT1 expression and activation in the neurons of the arcuate nucleus of the hypothalamus [201]. Go to: ————————————————- Role of leptin in Alzheimer disease Alzheimer Disease (AD) is a progressive, debilitating and the most prevalent neurodegenerative disorder typified by memory impairment and cognitive dysfunction eventually leading to fatality. The gross pathologic hallmarks of autopsied brains of patients with AD include atrophy with widened sulci and narrowed gyri in the temporal, parietal, and frontal lobes as well as the neocortex and cingulated gyrus areas of the cerebral cortex. The entorhinal cortex, amygdala, hippocampus and the para-hippocampal gyrus also exhibit pronounced atrophy due to neuronal loss [202,203]. There is a decrease in gross weight of brain by 10-15% in AD patients [202]. The thickness of the six cortical layers (cortical ribbon) is usually reduced by 10-20% in AD [202] and ventricular dilation is apparent prominently in the temporal horn as a consequence of the atrophy of the amygdala and the hippocampus. Furthermore, there is a propensity for the loss of larger neurons than the loss of smaller neurons or glial cells in AD [202]. Microscopically, AD is characterized by two most common and distinct â€Å"hallmark† microscopic lesions namely senile plaques and neurofibrillary tangles (NFT). Senile plaques are extraneuronal deposits of accumulated and aggregated amyloid-? (A? ) protein in the brain parenchyma, while the NFT are intraneuronal aggregates of protein tau in the hyperphosphorylated state. Other pathological features of the AD brain include synaptic loss, neuronal and dendritic loss, neuropil threads, granulovacuolar degeneration, dystrophic neurites, Hirano bodies, and cerebrovascular amyloid deposition. There is substantial evidence that leptin modulates A? production and metabolism. Chronic peripheral leptin administration in Tg2576 mice has been reported to reduce the brain A? evels [204]. Moreover leptin also decreases the BACE1 activity in SH-SY5Y cell line [204]. Leptin decreases tau phosphorylation explicitly at residues Ser202, Ser396, and Ser404  in retinoic acidinduced differentiated SH-SY5Y cells, differentiated human NT2 cells (NT2N), and rat primary cortical neurons [205-207]. Leptin also increases synaptogenesis and aids in memory formation in the hippocampus and is purported to be a cognitive enhancer [133]. Leptin has been shown to convert STP into LTP in hippocampal cultures and hippocampal slices [132]. Recent evidence suggests that leptin facilitates spatial learning and memory [130] and also increases neurogenesis in the dentate gyrus of adult mice [134]. Recent epidemiological studies have also unequivocally implicated decreased leptin levels in the pathogenesis of AD. In the Framingham prospective study, 785 subjects were followed between 1990 and 1994 from the original Framingham cohort [208]. The study concluded that leptin levels were inversely related to the risk of developing dementia of the Alzheimer type [208]. A year preceding the findings of Lieb and colleagues, a morphometric study in Japan conducted by Narita and group found higher leptin levels were positively correlated with higher hippocampal volumes [209]. Leptin decreases Amyloid-? (A? ) levels by attenuating the genesis and augmenting the clearance of the peptide The A? peptide is derived from a two-step successive proteolytic cleavage of Amyloid-? precursor protein (A? PP) [210]. In the first step, A? PP is cleaved by the membrane-bound protease BACE1 (? -site APP cleaving enzyme 1) (also called ? secretase) to generate CTF? (carboxy terminal fragment ? ) (also known as C99 fragment) [211-215] which in the second step is subsequently cleaved by the ? -secretase complex to generate A? peptide [216-218]. According to the â€Å"amyloid cascade hypothesis†, A? is considered as the culpable factor in the instigation and progression of all the neurodegenerative events that characterize AD [219]. A plethora of studies have demons trated that leptin decreases A? levels in several  in vivo  and  in vitro  paradigms [204,220-223]. Leptin has been shown to mitigate A? roduction by extenuating BACE1 activity in neural cultures [204]. Recent studies have implicated the AMPK/SIRT1 pathway in the leptin-induced modulation of A? levels [222]. Emerging data from our unpublished work has not only corroborated the finding that leptin regulates A? metabolism via SIRT1, but also implicated the ubiquitous transcription factor NF-? B as a SIRT1 target downstream in the modulation of A? genesis (unpublished). Leptin decreases A? levels by targeting all facets of A? metabolism, namely – production, clearance, and degradation. We have shown that leptin increases the expression levels of insulin degrading enzyme (IDE) putatively by activating the Akt pathway [223], thus augmenting the degradation of A?. Furthermore, leptin also increases the expression levels of LRP1 [223], suggesting that leptin may foster the uptake of A? by astrocytes and microglia or reuptake of A? by neurons and therefore target A? for intracellular degradation or for clearance across the blood-brain-barrier (BBB). Leptin also effectuates the ApoE-mediated clearance of A? [204]. Specifically, leptin dose-dependently increased the LRP1-mediated uptake of ApoE-bound A? , therefore committing A? toward the endosomal/lysosomal degradation pathway [204]. Leptin attenuates BACE1 expression and activity The first line of evidence linking leptin signaling dyshomeostasis in the pathogenesis of Alzheimer disease emanated from the work of Tezapsidis and colleagues [204], who demonstrated in neural cultures from transgenic mice that leptin mitigates BACE1 activity by evoking changes in lipid composition of lipid rafts of cell membranes. Furthermore, the study also demonstrated that the lipolytic ability of leptin as a consequence of increased ? -oxidation of fatty acids and decrease  de novo  synthesis of fatty acids and triglycerides underlies the mechanistic link between the effects of leptin on lipid composition of membranes and BACE1 activity. Recent data from our studies [223] and other laboratories [221] cogently demonstrate that leptin negatively regulates BACE1 expression, both  in vitroand  in vitro  paradigms. Moreover, Greco and colleagues have attributed this effect of reduced BACE1 expression on the ability of leptin to induce PPAR? expression and activation [221]. Indeed, leptin is a well characterized inducer of PPAR? expression and activity [220,224]. In light of this, it is important to reiterate that multiple lines of evidence exist in current literature demonstrating the role of PPAR? as a negative regulator of BACE1 expression [225]. Another mediator of leptin induced modulation of BACE1 expression may be the transcription factor STAT3. The BACE1 promoter contains a multitude of STAT3 binding sites [226]. Multiple lines of evidence have implicated STAT3 in the regulation of BACE1 expression [226-228]. Leptin may also modulate BACE1 activity via the activation of the PI3K/Akt and ERK signaling pathways [229]. BACE1 expression is also modulated by the master transcription factor NF-? B [230]. We have found that leptin represses NF-? B transcriptional activity via induction of SIRT1 expression and activity and thereby attenuates BACE1 expression (unpublished). Furthermore, inhibition of SIRT1 activity significantly compromised the mitigating effect of leptin on BACE1 expression (unpublished). Therefore, the entire range of discrete signal transduction pathways activated by leptin may be implicated in the modulation of BACE1 expression. Leptin mitigates tau phosphorylation It is now the consensus that tau hyperphosphorylation precedes and leads to PHF formation in NFT [231] and aberrant tau hyperphosphorylation is implicated in neurodegeneration in AD [232-236]. Recent studies by Tezapsidis and colleagues as well as our work has cogently demonstrated that leptin decreases hyperphosphorylation of tau, primarily by the activation of known canonical signal transduction pathway coupled to leptin receptors. Firstly, Greco  et al. demonstrated  in vitro, in SH-SY5Y and NTera-2 human neuronal cell lines, that leptin reduces the phosphorylation of tau at Ser202, Ser396, and Ser404  residues [205]. In the same study, it was shown that leptin was ~300-fold more potent than insulin at mitigating tau phosphorylation and the activation of AMPK pathway was implicated in mediating this effect [205]. The following year, the same group systematically investigated the involvement of other signal transduction pathways activated by leptin that may contribute to the attenuation of tau phosphorylation and concluded that leptin-induced activation of Akt, p38 MAPK, as well as AMPK were all intricately involved [206]. Notably, of great mechanistic importance, was the revelation that all the three aforementioned pathways activated by leptin, culminated in the phosphorylation of the tau kinase GSK3? at Ser9  residue leading to the inhibition of its kinase activity. Therefore, leptin-induced activation of Akt, p38 MAPK, and AMPK signal transduction pathways converged at the focal point – GSK3? , a bona fide tau kinase [206,207]. Data from our studies carried out in organotypic slices from the hippocampi of adult rabbits has also cogently demonstrated that leptin inhibits GSK3? -induced tau phosphorylation at AT8 (Ser202, Thr205) and PHF1 (Ser396, Ser404) epitopes via the activation of Akt [223,237]. Of greater importance and relevance, was the finding that 8-weeks of leptin treatment in CRND8 transgenic mice resulted in a ~2-fold decrease in tau phosphorylation at AT8 and PHF1 epitopes [221]. Leptin fosters synaptogenesis and synaptic plasticity Several studies have shown that synaptic dysfunction and synaptic loss are the cardinal hallmarks of incipient AD [238-244]. Electron microscopy [238,241,245-248], immunohistochemical and biochemical studies [240,249-251] have demonstrated that synaptic loss in the neocortex and the hippocampus is an early episode in Alzheimer’s disease [252,253]. Synaptic loss is also the most important structural correlate of cognitive impairment in AD [250,254-260]. Synaptic dysfunction can be detected in patients diagnosed ith mild cognitive impairment (MCI), a condition which may or may not progress to AD and characterized by many as a prodromal state of AD [247,261]. Leptin plays an indispensable role in learning, memory, and maintenance of synaptic plasticity [262]. Leptin receptor mutant  db/db  mice and  fa/fa  rats have deficits in spatial memory and inadequate short term memory processing as assessed by the Morris water m aze [130] and T-maze footshock avoidance test paradigms [129]. In the CA1 region of the hippocampus, leptin exclusively enhances the NMDA receptor-mediated synaptic transmission [132]. Leptin facilitates the trafficking of NMDA receptors to the plasma membrane and this may contribute to the effect of leptin on enhancing the NMDA receptor-mediated current [133]. This was also corroborated in a  Xenopus  oocyte model system expressing recombinant NMDA receptors [132]. Leptin evokes the conversion of STP to LTP in acute hippocampal slices. Further delving into the molecular mechanism underlying this effect has implicated the PI3K/Akt and ERK signaling cascades at the nexus as the inhibitors of these signaling pathways mitigated this effect of leptin [132]. Furthermore, in the CA1 region of the hippocampus, leptin also fosters the induction of a novel form of LTD and this effect was attributed to NMDA receptor activation [263]. The study by Durakoglugil also examined the signal transduction cascades involved in the induction of this novel LTD by leptin and concluded that this effect was contingent on the PI3K signaling cascade, but independent of the ERK signaling pathway [263]. In addition to regulating synaptic strength by modulation of LTP and LTD, leptin also fosters synaptogenesis. The leptin deficient  ob/ob  mice have decreased synapse density and exogenous leptin corrects this deficit in these mice [264,265]. Leptin also induces the expression of a multitude of pre- and postsynaptic proteins such as synapsin2A and synaptophysin in the hippocampus [266]. Leptin also has a profound effect on dendritic morphology. Leptin augments filopodial stabilization, fosters mobility and boosts their density, thus promoting synapse formation [267]. Interestingly, this effect of leptin on filopodial stability and density is contingent on ERK signaling pathway and not on the PI3K signaling pathway [267]. Leptin increases neuronal survival and mitigates cell death There is growing consensus that leptin is a growth and survival factor in the CNS. Leptin increases the viability of SH-SY5Y cells and suppresses apoptosis by down-regulation of caspase-10 and TRAIL and this effect is contingent on the ability of leptin to activate the JAK-STAT, PI3K-Akt, as well as ERK signaling pathways [268]. Leptin has been shown to exert neuroprotective properties in cultured MN9D rat dopaminergic cells against 6-OHDA. Leptin also averted the 6-OHDA-induced dopaminergic cell loss in the substantia nigra of mice when administered intracranially [269]. This pro-survival effect of leptin on dopaminergic neurons was attributed to the JAK2-dependent activation of the ERK signaling pathway resulting in increased levels of survival factors p-CREB and BDNF [269]. Our recent work has unequivocally demonstrated that leptin upregulates the expression of Insulin-like Growth Factor – 1 (IGF-1), a known neurotrophic and survival factor in the brain [270]. Leptin has also been shown to attenuate apoptotic cell death of cultured cortical neurons in an  in vitro  oxygen-glucose deprivation model of global ischemia [271]. Furthermore, the study by Zhang  et al. , also cogently showed that intraperitoneal administration of leptin in mice reduced the infarct volume and significantly improved behavioral parameters in a middle cerebral artery occlusion (MCAO) model of global ischemia [271]. This effect of leptin was attributed to the activation of ERK signaling pathway as the general inhibitor of ERK signaling abolished this effect of leptin, both  in vitro  and  in vivo  [271]. Another study employing hippocampal cultures has demonstrated that leptin inhibits neuronal cell loss in response to growth factor withdrawal and oxidative insult by evoking JAK-STAT activation leading to enhanced expression Mn-SOD and Bcl-xL and stabilizing the mitochondrial membrane potential [135]. Leptin also mitigated neuronal loss in response to excitotoxic insult evoked by glutamate in hippocampal cultures by the aforementioned molecular mechanism [135]. Leptin also protected the hippocampal neurons from kainite-induced damage in response to excitotoxicity evoked seizures in a mice model of temporal lobe epilepsy [135]. A recent study found that leptin also attenuates MPP+-induced cell death in neuronal cultures via the activation of STAT3 and inducing the expression of UCP-2 that culminates in the obviation of mitochondrial dysfunction by MPP+  [272]. Of particular interest is the finding that cultured cortical neurons secrete prodigious amounts of leptin in response to oxygen-glucose-serum deprivation that results in enhanced expression of IL-1? and increased intransigence to apoptotic cell death [273]. Moreover, neutralization of this endogenous leptin with an antibody resulted in increased susceptibility of these cultured cortical neurons to oxygen-glucose-serum deprivation – induced cell death [273]. The salutary effects of leptin on neuronal viability and function have also been corroborated by electrophysiological studies. One such study has cogently demonstrated that leptin combats the hypoxia-induced inhibition of spontaneously firing hippocampal neurons by activating the BK channels (large conductance Ca2+  activated K+  channels) [274]. Leptin induces proliferation of neuronal progenitors – evokes neurogenesis As Alzheimer disease is typified with selective neuronal loss in the hippocampus and other regions of the brain, the debunking of the dogma that neurogenesis occurs exclusively prenatally and the revelation that neurogenesis persists in the adult mammalian brain has opened novel therapeutic avenues to combat the neuronal loss in AD. Chronic leptin treatment increases hippocampal neurogenesis in mice and induces proliferation of adult hippocampal progenitor cultures [134]. This effect of leptin on adult hippocampal neurogenesis is attributed to increased cell proliferation in the dentate gyrus and not enhanced cell differentiation or cell survival [134]. The study by Garza and colleagues unequivocally implicated the JAK2-STAT3 and PI3K-Akt signal transduction pathways in the leptin induced enhancement of hippocampal neurogenesis [134]. Furthermore, leptin rescues the attenuation in adult hippocampal neurogenesis in a mouse model of chronic unpredictable stress-evoked depression via the inhibition of GSK3? nd subsequent stabilization of ? -catenin [275]. Leptin has also been documented to evoke neurogenesis and angiogenesis in a mouse stroke model (Avraham  et al. , 2011). Go to: ————————————————- Conclusion Here we have reviewed the contemporary knowledge on the protective role of the adipokine leptin and its signaling in Alzheimer’s disease. In conspectus, leptin impinges on all facets of Alzheimer’s disease pathophysiology (Figure 1). These attributes of leptin such as the decrease in A? production and increase of A? learance, reduction in tau hyperphosphorylation as well as increased synaptogenesis, increased memory, increased spatial learning, and increased neurogenesis catapult leptin treatment as a unique therapeutic intervention and an indispensable tool in the elucidation of biochemical mechanisms involved in the etiology of the sporadic form of Alzheimer’s disease. Marwarha , G. and Ghribi, O. Leptin signaling and Alzheimer’s disease Marwarha , G. and Ghribi, O. (2012) Leptin signaling and Alzheimer’s disease. American Journal of Neurodegenerative Disease, 1 (3), p. 45-265. Lifestyle nonpharmacological interventions can have a deep effect on cognitive aging. We have reviewed the available literature on the effectiveness of physical activity, intellectual stimulation, and soc ialization on the incidence of dementia and on the course of dementia itself. Even though physical activity appears to be beneficial in both delaying dementia onset and in the course of the disease, more research is needed before intellectual stimulation and socialization can be considered as treatments and prevention of the disease. Through our paper, we found that all three nonpharmacological treatments provide benefits to cognition and overall well-being in patients with age-related cognitive impairments. These interventions may be beneficial in the management of dementia. Alzheimer’s disease (AD) is a neurodegenerative disorder with devastating consequences [1]. Despite being the most common cause of dementia, affecting approximately 5. 4 million Americans [2] and almost 50% of people over the age 85 [3], no cure has yet been discovered. Efforts are also focusing on the development of more effective strategies to slow the progression of AD to increase the quality of life of those affected. Even a two-year delay in disease onset would reduce the prevalence of AD among Americans by two million people within fifty years [4]. If an intervention that delayed the onset of AD by five years had been applied back in 1997, we would have seen a 50% reduction in AD incidence [4]. Research on strategies to slow the development and progression of AD is arguably more important now than ever before, since the number of people with AD is expected to nearly triple over he next forty years [4], and dementia is the most important contributor to disability in the elderly [5]. Among others, three nonpharmacological interventions are particularly relevant as they might positively influence cognition, general functioning, and overall quality of life. These three strategies arephysical exercise,  intellectual stimulation,  and  social interaction. While there are studies that evaluate the role of individual and multimodal interventions on AD, there is a lack of literature on the combination of all three. The purpose of this paper is to review key areas of the literature that focus on the effects of physical exercise, intellectual stimulation, and socialization strategies on AD evolution, as they collectively play an important role in the management of Alzheimer’s disease. Physical exercise encapsulates both aerobic exercises (e. g. , walking and cycling) and nonaerobic exercises (e. g. , strength and resistance training; flexibility and balance exercises). For intellectual stimulation, we examine studies that have evaluated the prognostic effects of either cognitive hobbies (e. g. reading, word puzzles, and card games) or cognitive training (e. g. , computer training games/paradigms that target specific cognitive domains such as memory and attention). Social interaction is defined as the participation of an AD patient in group-related activities, such as mealtime conversations, support groups, or other forms of social engagement. The health benefits attributed to physical acti vity are numerous and well known. Exercise has been associated with a lower incidence in many chronic diseases, such as coronary heart disease [6], type 2 diabetes [7], obesity [8], cancer [9], bone loss [10], and high blood pressure [11]. We have reviewed the effects of physical exercise on cognition. Higher cardiorespiratory fitness has been related to higher scores on tests of cognitive function [12]. A meta-analysis of randomized controlled trials examining the relationship between exercise and cognition showed modest improvements in attention, processing speed, executive function, and memory among older adults in the treatment arms [13]. This is highly relevant for the elderly population, as it suggests that physical activity can serve as a preventative measure against age-related cognitive decline [14]. Several large longitudinal studies followed older adults without cognitive impairments at baseline and measured rate of incident dementia to clarify the relationship between physical activity and incident cognitive loss. A large prospective study by Podewils et al. identified an inverse relationship between physical activity and dementia risk [15]. Compared to no exercise, physical activity has been linked with reduced risks of developing cognitive impairment and dementia [16] with the risk for dementia being further reduced with increasing levels of physical activity. Larson and colleagues found that persons who exercised three or more times per week had a reduced risk of developing dementia compared to those who exercised less, and the reduction was more marked among those with the poorest physical function at baseline [17]. These results were corroborated by Buchman et al. who found that participants in the lowest percentiles of physical activity had more than twice the risk of developing dementia than those in the highest percentiles of physical activity [18]. Furthermore, Lautenschlager et al. demonstrated that these results might be transferable to adults with mild cognitive impairment (MCI), and, thus, at high risk for dementia; participants who underwent exercise training showed modest improvements in cognition after six months [19]. Physical exercise has, therefore, been recommended as a preventative measure of mild cognitive impairment and dementia [20,  21]. There is much less research focusing on the effect of physical activity in AD patients. This may be due to the challenges of implementing an exercise regime while managing the behavioral and emotional disturbances in AD patients, particularly in the later stages of the disease. However, the results in the available literature are promising. Early research involving AD patients in nonrandomized controlled trials showed significant cognitive improvements among participants who underwent cycling training and somatic and isotonic-relaxation exercises [22,  23]. Physical exercise may have beneficial effects in AD patients beyond cognition as well. A meta-analysis on 30 randomized controlled trials that employed exercise, behavioral and environmental manipulations in patients with cognitive impairment found exercise had positive effects on strength and cardiovascular fitness in addition to improvements in behavior and cognition [24–26]. Further evidence supporting multifaceted positive effects of exercise on AD can be traced to recent randomized controlled trials of physical exercise regimes on AD patients (Table 1). Compared to controls, patients in the intervention programs showed better physical functioning (functional reach, walking, and mobility). After treatment, these patients also showed improved performance of activities of daily living (ADLs), and less cognitive decline and cognitive improvement in some cases. Physical exercise, therefore, appears to be beneficial for AD patients. While the majority of the studies did not find any differences in depression, one study by Steinberg found increased depression and decreased quality of life in patients who underwent the exercise intervention [31]. Further research into the effect of physical exercise on mood and quality of life in AD patients is, therefore, required. When considering the role of exercise on AD, it is important to note that any positive results may be due to a placebo effect, even in randomized controlled trials. However, due to the varied nature of the outcome measures used in these studies, it is unlikely that every intervention group demonstrated significant gains over the controls due to a placebo effect alone. Furthermore, control group members never appeared to show any improvement and often showed higher rates of functional and cognitive decline. Enhanced neuroplasticity might be underlying the improvements seen. Colcombe and colleagues demonstrated that older adults without dementia who performed aerobic exercises had greater grey and white matter volumes compared to adults who engaged in stretching and toning exercises [38]. Exercise has also been associated with functional connectivity between brain networks often affected by age, such as the default mode, frontal parietal, and frontal executive networks, in older adults without dementia [39]. While randomized controlled trials in AD patients examining the relationship between neuroplasticity and exercise are underway, correlational studies examining brain volumes and cardiorespiratory fitness have been done. In AD patients, cardiorespiratory fitness has been associated with brain volume. VO2peak, peak oxygen consumption, has been positively correlated with greater whole brain volume and white matter volume [40], notably in the inferior parietal lobule, hippocampal, and parahippocampal regions [41]. Future results of randomized controlled trials will improve our knowledge in this field of research. Overall, physical activity offers promising outcomes for cognition and physical health in the elderly population and AD patients. Engagement in intellectually stimulating activities has been linked with reduced risk of developing AD and intellectual stimulation has been widely explored as a nonpharmacological treatment option for dementia [42]. Among cognitively ormal older persons, randomized control trials employing intellectual training concluded that cognitive interventions produce protective and potentially long lasting positive effects in various cognitive domains as well as activities of daily living [43]. There is also evidence that frequent engagement in hobbies, including reading, puzzles, and games, for at least six hours per week reduces the risk of incident dementia [44]. The concept of intellectual stimulation as a preventative measure for dementia in healthy older adult s can be parallel to the notion of building a â€Å"compensatory mechanism† or â€Å"cognitive reserve† [45–48]. Cognitive reserve refers to the hypothesis that individual differences shaped by inherent characteristics and external sources including intelligence, years of education, occupation, and intellectual activities, may provide neural protective support against dementia [45–47]. It has been argued that these collective life experiences may contribute to building cognitive reserve and, thus, provide skills to compensate for AD pathology [45–47]. In other words, a greater cognitive reserve might delay the appearance of dementia despite the presence of neuropathology, after which a rapid progression of cognitive decline may ensue once pathology is significant enough to result in AD diagnosis. Thus, AD patients with higher education and occupation accomplishments suffer more rapid decline in cognitive abilities when compared to AD patients with less education and occupational attainment following diagnosis [49]. Another study by Helzner and colleagues [50] investigated the relationship between premorbid leisure activity and rate of cognitive decline in AD patients. Leisure activities were classified into four categories: intellectual, social, physical, and other. Higher-frequency participation in intellectual leisure activities prior to AD diagnosis was associated with delayed AD onset followed by faster cognitive decline. The study by Helzner and colleagues [50] provides evidence for the benefits of intellectual stimulation on slowing down AD development. Besides reducing the risk of dementia, cognitive interventions later in life may affect functional decline in AD. Treiber and colleagues [51] explored the association between engaging in cognitively stimulating activities in late life and the rate of cognitive decline in incident AD. This study included a wide range of intellectual activities that required varying levels of cognitive demand, for example, completing puzzles, reading, watching television, listening to music, and cooking. The results suggested that higher-frequency participation in stimulating activities in early stages of dementia resulted in slower cognitive decline. However, as time progressed there was an overall decrease in participation in activities, which might reflect the nature of AD in terms of functional abilities. Intellectual stimulation can be divided into several categories including cognitive stimulation, cognitive t How to cite Dementia, Papers

Creative Writing The Millers Tale Essay Example For Students

Creative Writing: The Millers Tale Essay Creative Writing: The Millers TaleThis is a true tale of me and my life, or at least for a short while. Theday had started out so well, you see I had become somewhat of a owner of women. I was interested in this becomes because of the free jobs that came with it. Yousee because of my gorgeous looks the women had trouble seeing past it to thereal man in my pants, I mean in me. So why not just become an owner of women tosell to others for nightly jobs and such and reap the benefits of it all. Solike I said, the day had gone perfectly until one of my women came down with asudden case of the backdoor trots. He, he the ol hag almost released her loadof dung on one of my customers, so I had to get her and take her back home. WhenI got to the mans house I entered in grand fashion by showing how I could openthe door with my head. Oh well, that didnt go over as planned but it scared mywoman so bad she finally did just let it go. Then, after cleaning it up we wereon our way out and back to home sweet home. When we arrived I got some greatnews that made the whole squirts issue fall back to the back of my mind. I gotword that the King wanted one of my women to get it on with him . So soon I gotthe prettiest woman I had. She had blond hair and a nice set on her, if I do sayso myself. She all of her teeth except for three but in this time thats notbad. I soon put on my Sunday best and headed straight for the castle in which tomeet the King himself. We came in the back just as told and soon were met bythree guards dressed in black and silver. They said to me, Wait here, the girlgoes with us. Well, Ill be damned if Im going to let these people not let mesee the King! When I asked they said, Sorry but the King wont allow it. Well,what could I do? Absolutely nothing is right. The King sure is a bum when itcomes to privacy and such. I sat outside the back entrance to the castle foralmost an hour. I was almost to the point of sleep when I heard the door open. She came out with a bit of a smile on her face. We soon departed from the castle,she said nothing the whole way home. I kept asking her if something happened inthere that she wanted to tell me. Once, we reached my house she began to laugh. I was intrigued by this so I said, What is wrong with you? She began to tellabout the Kings short comings. I soon also began to laugh at this and went tothe bar down the way. I entered the bar in grand fashion as usual. The door wasespecially hard for some reason but maybe it was just me. No matter, I began todrink with my buddy from down the way by the name of Everett. I told him of myday and then he bought me a beer, then another, than another. I soon began towonder why he was being so giving to me, but he was good friend and I thoughtnothing of it. The night pushed on and finally, I was so drunk I stole the moneyoff the man beside me to pay for some of my drinks and then staggered out and tomy house which was a few blocks down the road. The next morning I awoke to thesound of a rooster and a man laughing wildly outside my door. It was ol Jethrowand his pet rooster Cleetis. He greeted me by saying, Is it true, does theKing have a small one? I replied with, What in Gods name are you talkingabout? Last night at the bar you told everyone that one of your women said thatthe King was a little short of the mark. Youre joking, right? Fraid not,he said. Well, at that moment in time I thought I had only two choices. Either Icould leave my business and the house or stay and face the wrath of the King. .u62d69eadef3d066275886ad2253aa9ce , .u62d69eadef3d066275886ad2253aa9ce .postImageUrl , .u62d69eadef3d066275886ad2253aa9ce .centered-text-area { min-height: 80px; position: relative; } .u62d69eadef3d066275886ad2253aa9ce , .u62d69eadef3d066275886ad2253aa9ce:hover , .u62d69eadef3d066275886ad2253aa9ce:visited , .u62d69eadef3d066275886ad2253aa9ce:active { border:0!important; } .u62d69eadef3d066275886ad2253aa9ce .clearfix:after { content: ""; display: table; clear: both; } .u62d69eadef3d066275886ad2253aa9ce { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .u62d69eadef3d066275886ad2253aa9ce:active , .u62d69eadef3d066275886ad2253aa9ce:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u62d69eadef3d066275886ad2253aa9ce .centered-text-area { width: 100%; position: relative ; } .u62d69eadef3d066275886ad2253aa9ce .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u62d69eadef3d066275886ad2253aa9ce .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u62d69eadef3d066275886ad2253aa9ce .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .u62d69eadef3d066275886ad2253aa9ce:hover .ctaButton { background-color: #34495E!important; } .u62d69eadef3d066275886ad2253aa9ce .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u62d69eadef3d066275886ad2253aa9ce .u62d69eadef3d066275886ad2253aa9ce-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u62d69eadef3d066275886ad2253aa9ce:after { content: ""; display: block; clear: both; } READ: Out, Out EssayWell, the day passed on with more and more questions about the King and hiswhatever you would like to call it. I decided Im a man, a very big man at thatso I decided to stay and face the King. Hours and hours went by and no word fromthe King. I thought I was in the clear but as soon as I had thought such athought, someone began to knock at the door. I went in a sort of slow pace toget the door. Then, I opened the door and there stood seven knights and the King. At once I knocked the first one down with the use of my head, then the next twowith a swift kick to their families jewels. Three down and four to go. Next, Ijumped upon one and rammed my fist into his face, but soon after this the otherthree grabbed me and held me tight to where I couldnt get away. The King stoodbefore me and looked me over. After a while, he told the knights to release meand for me to step back inside. The King soon followed and we sat at my table inthe kitchen. He told me of a deal to sort the matter out. He would have a womanfor free anytime he requested or I could have my jewels in a jar. Gladly, I tookthe offer and he parted with his knights and all was well. In the end I figuredthat the moral was to not to run your mouth unless youre a pimp. English