Ex Parte Lapuerta et al - Page 4




              Appeal No. 2003-1745                                                                         4               
              Application No. 09/859,614                                                                                   

              and preventing cognitive dysfunctions.  See Office action of June 19, 2002, at page 4.                       
              We agree.                                                                                                    
                     Lis is directed to a discussion of the relationship between both vascular dementia,                   
              cognitive impairment and hypertension.  Indeed, treating both elements of cognitive                          
              dysfunction and dementia separately required by the claimed subject matter fall within the                   
              scope of the teachings of Lis.  In the abstract Lis states that, “[h]ypertension is thought to               
              be directly associated with vascular dementia and preliminary evidence suggests an                           
              association between blood pressure and impairments in cognitive functioning.”  In a                          
              discussion of the risk factors for dementia, Lis reports on the conclusion reached in another                
              study that, “[h]ypertension is one of the major risk factors for stroke and vascular                         
              dementia . . . .”  See page 475, left-hand column.  Indeed Lis reports that, “[m]ost                         
              current literature suggest that hypertension and diabetes seem to be directly associated with                
              vascular dementia . . . .”  See page 475, right-hand column.  Furthermore, Lis states that,                  
              “hypertensives are more susceptible to cerebral ischemia and possibly stroke even during                     
              small reductions in cerebral perfusion pressure.”  See page 476, right-hand column.  We                      
              further find that in a discussion of hypertension and cognitive function Lis reports that,                   
              “higher blood pressures were reliable predictors of poor performance on tests of memory                      
              and abstract reasoning . . . .”  See page 477, left-hand column.  We find that in discussing                 
              the impact of hypertension on both cognitive impairment and vascular dementia Lis states                     
              that, “sustained hypertension is inversely related to cognitive functioning and is thought to                






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