Data from 1.1 million young Swedish men (conscription information taken at age 18) has shown that those with poorer cardiovascular fitness were 2.5 times more likely to develop early-onset dementia later in life and 3.5 times more likely to develop mild cognitive impairment, while those with a lower IQ had a 4 times greater risk of early dementia and a threefold greater risk of MCI. A combination of both poor cardiovascular fitness and low IQ entailed a more than 7 times greater risk of early-onset dementia, and more than 8 times greater risk of MCI.. The increased risk remained even when controlled for other risk factors, such as heredity, medical history, and social-economic circumstances.. The development of early-onset dementia was taken from national disease registries. During the study period, a total of 660 men were diagnosed with early-onset dementia.. A further study of this database, taken from 488,484 men, of whom 487 developed early-onset dementia (at a median age of 54), found nine ...
TY - JOUR. T1 - Neuropsychiatric symptoms as predictors of progression to severe Alzheimers dementia and death. T2 - The cache county dementia progression study. AU - Peters, Matthew E.. AU - Schwartz, Sarah. AU - Han, Dingfen. AU - Rabins, Peter V.. AU - Steinberg, Martin. AU - Tschanz, Joann T.. AU - Lyketsos, Constantine G.. PY - 2015/5/1. Y1 - 2015/5/1. N2 - Objective: Little is known about factors influencing the rate of progression of Alzheimers dementia. Using data from the Cache County Dementia Progression Study, the authors examined the link between clinically significant neuropsychiatric symptoms in mild Alzheimers dementia and progression to severe dementia or death. Method: The Cache County Dementia Progression Study is a longitudinal study of dementia progression in incident cases of this condition. Survival analyses included unadjusted Kaplan-Meier plots and multivariate Cox proportional hazard models. Hazard ratio estimates controlled for age at dementia onset, dementia ...
This study investigates the impact of a weekly group providing sport and physical activities for men with early onset dementia established by Notts County Football in the Community (NCFC). There were three aims: investigate the effect of early onset dementia on individuals with the condition and their carers; examine perceptions of current levels of service provision for people with early onset dementia; and analyse the impact of the group. Men with dementia (n=5) attending the sessions, their carers (n=5), NCFC coaching staff (n=5) and people organising/facilitating the sessions (n=5), were interviewed. Semi-structured interviews explored the participants experiences of dementia, their opinions on current service provisions and on the sessions. Data were analysed using thematic analysis. Four main themes were found: loss related to the condition of dementia and its impact on relationships (Loss); lack of age-appropriate services for people with early onset dementia (Lack of Resources); ...
Background: Dementia imposes a high burden of disease worldwide. Recent epidemiological studies in European community samples are scarce. In Portugal, community prevalence data is very limited. The 10/66 Dementia Research Group (DRG) population-based research programmes are focused in low and middle income countries, where the assessments proved to be culture and education fair. We applied the 10/66 DRG prevalence survey methodology in Portugal, where levels of illiteracy in older populations are still high. Methods: A cross-sectional comprehensive one-phase survey was conducted of all residents aged 65 and over of two geographically defined catchment areas in Southern Portugal (one urban and one rural site). Nursing home residents were not included in the present study. Standardized 10/66 DRG assessments include a cognitive module, an informant interview and the Geriatric Mental State-AGECAT, providing data on dementia diagnosis and subtypes, mental disorders including depression, physical ...
Dementia prevalence calculator The dementia prevalence calculator, available below, can be used to estimate the number of people in the population of a town, city, or community who may have dementia.
Many age-related health problems have been associated with dementia, leading to the hypothesis that late-life dementia may be determined less by specific risk factors, and more by the operation of multiple health deficits in the aggregate. Our study addressed (a) how the predictive value of dementia risk varies by the number of deficits considered and (b) how traditional (for example. vascular risks) and nontraditional risk factors (for example, foot problems, nasal congestion) compare in their predictive effects. Older adults in the Canadian Study of Health and Aging who were cognitively healthy at baseline were analyzed (men, 2,902; women, 4,337). Over a 10-year period, 44.8% of men and 33.4% of women died; 7.4% of men and 9.1% of women without baseline cognitive impairment developed dementia. Self-rated health problems, including, but not restricted to, dementia risk factors, were coded as deficit present/absent. Different numbers of randomly selected variables were used to calculate various
Doctoral student Jennifer OBrien, of QUTs School of Psychology and Counselling, said a dementia diagnosis might affect the way partners interacted and viewed their future.. Receiving a diagnosis of dementia can be a challenging experience for the person and those closest to them, Ms OBrien said.. We know a dementia diagnosis can prompt significant life changes like moving house, while for others it motivates them to keep to routines and familiar environments.. For many people, their relationship with their spouse is the most important relationship in their life but we do not know much about how this relationship is affected by a significant life event like a dementia diagnosis.. She said a lot of research had been done on how family members responded to diagnoses but it was relatively rare to ask the person who had just been diagnosed.. We are seeking the views of both the person diagnosed and their partner because we know that just because you receive a diagnosis doesnt mean you are ...
The project RHAPSODY analyzes European health and social care systems for the underserved group of people with young onset dementia. Results will be used to build and probe an educational, interactive e-learning programme for carers.. A multidisciplinary team of investigators from academia, industry and patient and carer organisations are joining their efforts in the RHAPSODY project (Research to Assess Policies and Strategies for Dementia in the Young). While dementia is commonly viewed as a health and social problem of old age, young onset dementia is defined by symptoms occurring before the age of 65 years.. Professor Alexander Kurz, project coordinator, mentions: When dementia strikes at a young age it is associated with specific and particularly severe problems for patients, family carers, and healthcare professionals. Young onset dementia has a profound impact on marital relationships and family structures, often involving children. Typically it leads to premature retirement and reduced ...
en] Background/Aims: The aim of this study was to determine the consistency of neuropsychiatric subsyndromes of the Neuropsychiatric Inventory across several clinical and demographic subgroups ( e. g. dementia subtypes, dementia severity, medication use, age and gender) in a large sample of outpatients with dementia. Methods: Cross-sectional data of 2,808 patients with dementia from 12 centres from the European Alzheimers Disease Consortium were collected. Principal component analysis was used for factor analysis. Subanalyses were performed for dementia subtypes, dementia severity, medication use, age and gender. Results: The results showed the relatively consistent presence of the 4 neuropsychiatric subsyndromes `hyperactivity, `psychosis, `affective symptoms and `apathy across the subanalyses. The factor structure was not dependent on dementia subtypes, age and gender but was dependent on dementia severity and cholinesterase use. The factors hyperactivity and affective symptoms were ...
Presentation Objectives 1. Recognize and assess significant cognitive impairment in older individuals The anatomy of memory - Normal versus Pathological memory changes with aging - Bedside or office testing of cognitive function 2. Understand the clinical presentation and nature of common dementia syndromes Common dementia clinical syndromes - Alzheimers disease - Vascular cognitive impairment - Frontotemporal dementia - behavioural, semantic and progressive aphasia types - Dementia with Lewy bodies - Subcortical dementias - Parkinsons disease dementia - Alcohol, traumatic brain injury, multiple sclerosis, motor neuron disease, Huntingtonsdisease, AIDS and other dementias - Routine investigations in dementia 3. Determine which patients might benefit from anti-dementia drugs and other psychotropics Target symptoms for medications - Alertness and attention/concentration - Memory - Motivation - Improve speech - Improve mood - Reduce anxiety - Reduce psychotic symptoms - Reduce agitation and
A new study will look at the relationship between dementia and high blood pressure, and how blood flow is regulated in the brain. The findings may help researchers identify if some drugs already used for other human conditions may be useful for the treatment of diseases such as stroke and Alzheimers disease (AD). Academics at Bristol Universitys Dementia Research Group, based at Frenchay Hospital, have been awarded a grant of over £266,000 from the British Heart Foundation (BHF) to assess whether drugs that block a small naturally produced molecule called endothelin-1 can improve blood flow through the brain.. In animal models of AD a reduction in blood flow occurs well before the onset of Alzheimer-like damaging changes to brain tissue. The most potent cause of the narrowing of blood vessels is a small molecule called endothelin-1 (ET-1). This molecule is produced by the action of endothelin-converting enzymes (ECEs).. The Bristol-based academics recently found that ECE-2 in the brain of AD ...
Dementia is not a specific disease. It is a descriptive term for a collection of symptoms that can be caused by a number of disorders that affect the brain. People with dementia have significantly impaired intellectual functioning that interferes with many normal activities and relationships. They also lose their ability to solve problems and maintain emotional control, and they may experience personality changes and behavioral problems, such as agitation, delusions, and hallucinations. While memory loss is a common symptom of dementia, memory loss by itself does not mean that a person has dementia. A diagnosis of dementia is usually only made if two or more brain functions, such as memory and language skills, are significantly impaired without loss of consciousness. Some of the diseases that can cause symptoms of dementia include Alzheimers disease, vascular dementia, Lewy body dementia, frontotemporal dementia, Huntingtons disease, and Creutzfeldt-Jakob disease. Other conditions that can ...
Objective To compare the Double Memory Test (DMT) with standard memory tests in the diagnosis of early dementia.. Background Diagnosis of dementia requires memory impairment, but few memory tests coordinate acquisition and retrieval to optimize encoding specificity for high sensitivity and specificity. The DMT was developed to improve early diagnosis.. Design We compared the discriminative validity of the DMT, Paired Associates (PA), and Logical Memory (LM) memory tests in a nested case-control study of 30 cases of early dementia and 90 controls matched for age, education, and sex.. Methods The DMT includes memory tests with (CCR) and without (ICR) encoding specificity. Both tests use category cues to elicit retrieval, but CCR optimizes encoding specificity because the same cues are used for acquisition and retrieval. ICR does not because category cues are used only for retrieval. We used conditional logistic regression to estimate diagnostic sensitivity and specificity.. Results The median BIMC ...
TY - JOUR. T1 - Wisconsin card sorting test and brain perfusion imaging in early dementia. AU - Takeda, Naoya. AU - Terada, Seishi. AU - Sato, Shuhei. AU - Honda, Hajime. AU - Yoshida, Hidenori. AU - Kishimoto, Yuki. AU - Kamata, Gosuke. AU - Oshima, Etsuko. AU - Ishihara, Takeshi. AU - Kuroda, Shigetoshi. PY - 2010/2. Y1 - 2010/2. N2 - Background/Aims: The presence of frontal or executive deficits in patients even at early stages of dementia is now widely recognized. We investigated the relationship between the scores of the Wisconsin card sorting test (WCST) and brain perfusion in patients with early dementia. Methods: A total of 77 subjects participated in this study. They underwent the WCST and brain single photon emission computed tomography with 99mTc-ethylcisteinate dimer. We analyzed the data using a regional cerebral blood flow (rCBF) quantification software program, 3DSRT. Results: The number of categories achieved (CA) scores of the WCST had a weakly positive correlation with regional ...
Get the facts about moderate dementia at Caring.com. Read articles and get answers to questions about moderate dementia, tips on caring for dementia patients, and other resources.
Introduction: Epidemiological data show that in France only half of patients with Alzheimer disease are currently diagnosed in the general population. The absence of early diagnosis of dementia reduces the opportunities of patients to receive optimal care. One of the consequences of undiagnosed dementia is inadequate use of emergency care units.. The main objective: The main aim of this study is to evaluate the impact of a systematic case-finding procedure of dementia cases in nursing homes through a MDTM on the rate of hospitalization in emergency care units.. Secondary objectives:. To assess the impact of systematic tracking of dementia cases on the:. ...
Alzheimers disease (AD) is the leading cause of dementia. Research into environmental factors is currently focused on cerebrovascular risk factors.1 Treatment of vascular risk factors has been associated with slower cognitive decline and reduced risk of AD in older populations.2 Genetics are important in rare genetically determined autosomal dominant familial patients with AD or frontotemporal dementia (FTD).3 Apolipoprotein E (APOE) is a risk factor for familial late-onset sporadic AD, but its role as a risk factor in younger populations is unclear. The role of APOE as a risk factor for FTD is controversial.. Early-onset dementia is dementia that develops in individuals prior to the age of 65 years, and some studies suggest it is associated with a higher mortality. AD and FTD are the most common causes of dementia in this population.4 The onset of FTD may be characterised by behavioural change and speech disturbance, whereas AD is usually characterised by defective episodic memory. It is ...
Dementia is a major cause of disability and suffering among older people [1]. Being a partner of an individual with a chronic, degenerative illness like dementia can be highly stressful and challenging. The literature clearly documents that caring for a person with dementia can be associated with loss of mental health and subjective wellbeing [2-15]. Studies have reported that 20-50% of dementia caregivers develop depression or high levels of depressive symptoms [4, 6], and that these rates are stable or increasing over time [2, 16]. A recent prospective cohort study estimated the incidence of depression among spouses of persons with dementia to be more than fourfold higher than among spouses of persons without dementia [7]. Caregivers of dementia patients also experience higher levels of depressive symptoms compared with caregivers of physically impaired older adults [17]. The manifestation of anxiety among caregivers has received less attention [18]. Some studies have reported that clinically ...
A brain disease characterised by more than one cognitive disorder (e.g. reduced memory, mental capacity or recognition of objects or faces). Without further specifications, the diagnosis is demential syndrome (ICD-10 code: F03), which accounted for nearlyy 65 percent of dementia-related deaths in 2014 and is classified under mental disorders (Chapter F of the ICD-10 Codes). Alzheimers disease (ICD-10 code G30) is the most common form of dementia accounting for around 25 percent of dementia-related deaths in 2014, followed by vascular dementia (ICD-10 code F01), which accounted for around 9 percent of dementia-related deaths in 2014. For the purpose of tabulation of dementia as a cause of death, the ICD-10 codes F01-F03, F05 and G30 are combined together. This is because on death certificates, the term used to specify cause of death is often just dementia rather than the specific form; in addition, more mixed forms of dementia have been observed over time, e.g. vascular dementia combined with ...
Regardless of which type of dementia is diagnosed and what part of the brain is affected, each person will experience dementia in their own unique way.. Dementia can affect a person at any age but it is more commonly diagnosed in people over the age of 65 years. A person developing dementia before age 65 is said to have young onset dementia.. There are over 850,000 people living with dementia in the UK and this is set to rise to over one million by 2021.. St Oswalds Hospice acknowledges that dementia is a life limiting condition and that a person with dementia has palliative care needs. We recognise the challenges faced by families living with dementia and our aim is to support them to live well and at the end of life, to die well. ...
On 26 September, Ole Christensen, MEP (Denmark) provided the following statement on the launch of the new Danish national action plan on dementia:. As the living age of Europeans continue to rise to a yet unknown stage, the number of dementia patients is increasing as well. Sadly, we know that this disease has severe implications, not only on the lives of the persons diagnosed with dementia, but also on their families. In order to combat and prevent this disease we have to act and we have to act now.. Therefore, I am pleased that a majority of the Danish political parties are earmarking EUR 60 million over a 3-year period through the national dementia strategy.. With the help of the national dementia strategy, support will be provided to families, money will be earmarked for improving research on Alzheimer and other forms of dementia, and a stronger focus on prevention will be provided. These are major improvements.. I sincerely hope that the Danish dementia strategy will show capable of ...
Dementia, including Alzheimers disease (AD), is one of the most burdensome medical conditions. In order to better understand the epidemiology of dementia in Italy, we conducted a systematic search of studies published between 1980 and April 2014 investigating the prevalence of dementia and AD in Italy and then evaluated the quality of the selected studies. A systematic search was performed using PubMed/Medline and Embase to identify Italian population-based studies on the prevalence of dementia among people aged ≥60 years. The quality of the studies was scored according to Alzheimers Disease International (ADI) criteria. Sixteen articles on the prevalence of dementia and AD in Italy were eligible and 75 % of them were published before the year 2000. Only one study was a national survey, whereas most of the studies were locally based (Northern Italy and Tuscany). Overall, the 16 studies were attributed a mean ADI quality score of 7.6 (median 7.75). Available studies on the prevalence of dementia and
The prevalence of the various dementia types is a complicated story. Certainly Alzheimers disease is by far the most common type of dementia, accounting for perhaps 70% of all dementias (although a 2006 study13 suggested that non-Alzheimer dementias were as common as Alzheimers - however this was based on dementia among military veterans). The second most common dementia is almost certainly vascular dementia, which may account for some 17% of dementias. However, the actual numbers are made uncertain by the fact that these two dementias often occur together.. At minimum, around a quarter of Alzheimers cases have been found, on autopsy, to also have vascular pathology; this proportion reaches higher levels when the samples are not restricted to dementia clinics. One such community-based study2, for example, found 45% of the Alzheimers cases also showed significant vascular pathology. Another, U.K., study3 found a similar proportion (46%).. Another, large long-running, study14 has found that ...
Dementia is a term used to define a wide range of brain diseases that can result in an array of symptoms. The changes taking place in the brain disrupt the function of the brains nerve cells (neurons), leading to cell death or damage. Alzheimers dementia is the most common type of dementia in the Western world, accounting for 60-80% of dementias. The overall incidence of dementia increases with age. Approximately 10% of persons over the age of 65 have been diagnosed with dementia. The number of people with dementia is estimated to double every five years beyond the age of 65.. There are several tests that may aid in determining the diagnosis of dementia. Imaging of brain anatomy with CAT scan or MRI will assess for areas of brain injury and loss of brain tissue as can be seen with widespread loss of the brains nerve cells. Brain PET scans are sometimes used in the detection of different types of cortical dementias such as Alzheimers or frontotemporal dementias. As appropriate, other tests ...
The rate of progression depends on the underlying causes. The duration of history helps establish the cause of dementia; Alzheimers disease is slowly progressive over years, whereas encephalitis may be rapid over weeks. Dementia due to cerebrovascular disease appears to occur stroke by stroke. As a rule, all types of dementia display a tendency to be accelerated by any changes in the environment, intercurrent infections or surgical procedures.. Alzheimers disease is one of the most common consequences of dementia, which can be established during life by the early memory failure and slow progression. Unfortunately, no effective treatment is known. Metabolic dementia can be caused by excessive alcohol consumption or chronic subdural haematoma. Improving the quality of life, there is some evidence that the herbal remedy can delay the progression of dementia and that long-term use of vitamin E may reduce the chances of developing dementia in old age. However, more research is needed.. There are ...
25% of all people aged 55 years and older have a family history of dementia. For most, the family history is due to genetically complex disease, where many genetic variations of small effect interact to increase risk of dementia. The lifetime risk of dementia for these families is about 20%, compared with 10% in the general population. A small proportion of families have an autosomal dominant family history of early-onset dementia, which is often due to mendelian disease, caused by a mutation in one of the dementia genes. Each family member has a 50% chance of inheriting the mutation, which confers a lifetime dementia risk of over 95%. In this Review, we focus on the evidence for, and the approach to, genetic testing in Alzheimers disease (APP, PSEN1, and PSEN2 genes), frontotemporal dementia (MAPT, GRN, C9ORF72, and other genes), and other familial dementias. We conclude by discussing the practical aspects of genetic counselling.
Previous studies suggest white matter (WM) integrity is vulnerable to chronic hypoperfusion during brain ageing. We assessed ~ 0.7 million capillary profiles in the frontal lobe WM across several dementias comprising Alzheimers disease, dementia with Lewy bodies, Parkinsons disease with dementia, vascular dementia, mixed dementias, post-stroke dementia as well as post-stroke no dementia and similar age ageing and young controls without significant brain pathology. Standard histopathological methods were used to determine microvascular pathology and capillary width and densities in 153 subjects using markers of the basement membrane (collagen IV; COL4) and endothelium (glucose transporter-1; GLUT-1). Variable microvascular pathology including coiled, tortuous, collapsed and degenerated capillaries as well as occasional microaneurysms was present in all dementias. As expected, WM microvascular densities were 20-49% lower than in the overlying cortex. This differential in density between WM and cortex
Previous studies suggest white matter (WM) integrity is vulnerable to chronic hypoperfusion during brain ageing. We assessed ~ 0.7 million capillary profiles in the frontal lobe WM across several dementias comprising Alzheimers disease, dementia with Lewy bodies, Parkinsons disease with dementia, vascular dementia, mixed dementias, post-stroke dementia as well as post-stroke no dementia and similar age ageing and young controls without significant brain pathology. Standard histopathological methods were used to determine microvascular pathology and capillary width and densities in 153 subjects using markers of the basement membrane (collagen IV; COL4) and endothelium (glucose transporter-1; GLUT-1). Variable microvascular pathology including coiled, tortuous, collapsed and degenerated capillaries as well as occasional microaneurysms was present in all dementias. As expected, WM microvascular densities were 20-49% lower than in the overlying cortex. This differential in density between WM and cortex
BACKGROUND: Marked impairments in and fluctuation of attention are characteristic of dementia with Lewy bodies (DLB). The comparative impairment of these cognitive domains in PD and PD dementia (PD dementia) has not been studied, and is important to the conceptual understanding of parkinsonian dementias. METHOD: Detailed evaluations of attention and fluctuating attention (Cognitive Drug Research computerized battery) were undertaken in 278 subjects (50 DLB, 48 PD dementia, 50 PD, 80 AD, 50 elderly controls) from the Newcastle dementia register and the Stavanger PD register (controls, PD, and PD dementia patients were recruited from both centers). DLB, AD, PD, and PD dementia were diagnosed using operationalized criteria. RESULTS: Impairments in reaction time, vigilance, and fluctuating attention were comparable in patients with DLB and PD dementia, but were less substantially impaired in patients with DLB without parkinsonism. Patients with PD had significantly greater impairment of cognitive reaction
At the beginning of the 1980s the establishment view in the English speaking world was that there were two primary causes of dementia: Alzheimers disease and vascular disease. Picks disease was an acknowledged pathological entity but considered sufficiently rare to have little clinical relevance for dementia patients presenting to neurology or psychiatry clinics. In any case it could not be distinguished from Alzheimers disease in life. It was against this prevailing background that I set up our early onset dementia clinic with Julie Snowden as principal neuropsychologist. My early interest in cognitive neurology and dementia had been consolidated during a sabbatical in Boston in 1976, where I acquired an analytical approach to cognitive assessment and saw firsthand the value of the multidisciplinary clinic. In our own clinic, what rapidly became clear was that patients exhibited very different patterns of difficulty. Far from the global impairment of intellect that had hitherto defined ...
phdthesis{3e1acfcd-8e65-44a9-b36b-63004c5792d4, abstract = {Dementia is a clinical syndrome with the development of impairment in multiple cognitive functions (including memory), severe enough to interfere with activities of daily living, as the main symptom. There are a large number of disorders that can lead to dementia, and neuropathological examination after death is necessary to determine the underlying cause with certainty. The overall aim of this thesis was to investigate neuropathological findings in patients with dementia and neuropathological staging of dementia disorders, the main potential gain being increased epidemiological knowledge and improved neuropathological dementia diagnostics. ,br/,,br, We could confirm the generally accepted opinion that on a neuropathological basis, Alzheimers disease (AD) is the most common dementia disorder, followed by vascular dementia (VaD) and mixed AD+VaD. Also, in a significant number of patients, the clinical dementia subtype diagnosis does not ...
An acetylcholinesterase inhibitor such as donepezil (oral, funded), rivastigmine (transdermal patches funded with Special Authority approval - see: Rivastigmine patch brand change, oral not funded) or galantamine (oral, not funded) may be considered in people with Alzheimers-type dementia, vascular dementia where subcortical ischaemic changes are prominent and dementia associated with Parkinsons disease/Dementia with Lewy Bodies (unapproved indication). Acetylcholinesterase inhibitors should not be prescribed to people with mild cognitive impairment.2. The treatment effects of acetylcholinesterase inhibitors are generally modest; not all patients will respond to treatment and it is not possible to predict response. There is no evidence that acetylcholinesterase inhibitors prevent the progression of dementia, however, some people may have a temporary improvement in cognition and functionality. A meta-analysis of 43 RCTs including over 16,000 people with Alzheimers disease reported that ...
Alcohol-related dementia presents as a global deterioration in intellectual function with memory not being specifically affected, but it may occur with other forms of dementia, resulting in a wide range of symptoms.[3] Certain individuals with alcohol-related dementia present with damage to the frontal lobes of their brain causing disinhibition, loss of planning and executive functions, and a disregard for the consequences of their behavior. Other types of alcohol-related dementia such as Korsakoffs Syndrome cause the destruction of certain areas of the brain, where changes in memory, primarily a loss of short term memory,[4] are the main symptom. Most presentations of alcohol dementia are somewhere along the spectrum between a global dementia and Korsakoffs Psychosis, and may include symptoms of both.[3]. Individuals affected by alcohol-related dementia may develop memory problems, language impairment, and an inability to perform complex motor tasks such as getting dressed. Heavy alcohol ...
Dr. Stokes and colleagues examined data from the Health and Retirement Study (HRS) to evaluate the association of dementia and CIND with all-cause mortality. The HRS is a longitudinal cohort study of adults older than 50 years who live in the community. Its sample is nationally representative. The HRS investigators also initiated the Aging, Demographics, and Memory study to develop a procedure for assessing cognitive status in the HRS sample.. In their study, Dr. Stokes and colleagues included adults who had been sampled in the 2000 wave of HRS. They focused on participants between ages 70 and 99 years at baseline, and their final sample included 7,342 older adults. To identify dementia status, the researchers used the Langa-Weir score cutoff, which is based on tests of immediate and delayed recall of 10 words, a serial 7-second task, and a backward counting task. They also classified dementia status using the Herzog-Wallace, Wu, Hurd, and modified Hurd algorithms.. At baseline, the researchers ...
Dementia is one of the major causes of personal, societal and financial dependence in older people and in todays ageing society there is a pressing need for early and accurate markers of cognitive decline. There are several subtypes of dementia but the four most common are Alzheimers disease, Lewy body dementia, vascular dementia and frontotemporal dementia. These disorders can only be diagnosed at autopsy, and ante-mortem assessments of probable dementia (e.g. of Alzheimer type) are traditionally driven by clinical symptoms of cognitive or behavioural deficits. However, owing to the overlapping nature of symptoms and age of onset, a significant proportion of dementia cases remain incorrectly diagnosed. Misdiagnosis can have an extensive impact, both at the level of the individual, who may not be offered the appropriate treatment, and on a wider scale, by influencing the entry of patients into relevant clinical trials. Magnetic resonance imaging (MRI) may help to improve diagnosis by providing non
Primary Dementia Primary dementias are degenerative disorders that are progressive, irreversible, and not due to any other condition. Specific disorders are dementia of the Alzheimers type (DAT) and vascular dementia (formerly multi-infarct dementia). Dementia of Alzheimers type demonstrates progression of symptoms from the initial stage, which is characterized by mild cognitive deficits in the area of short-term memory and accomplishment of goal-directed activity, to the final stage in which profound impairment occurs in the areas of cognition and self-care abilities. Research is ongoing. Dementia of Alzheimers type believed to have multiple causative factors. ...
Background. Dementia is a national priority and this research addresses the Prime Ministers commitment to dementia research as demonstrated by his 2020 challenge and the new UK Dementia Research Institute. In the UK , 800,000 older people have dementia. It has a major impact on the lives of people with dementia themselves, on the lives of their family carers and on services, and costs the nation £26B per year. Pharmacological cures for dementias such as Alzheimers disease are not expected before 2025. If no cure can be found, the ageing demographic will result in 2 million people living with dementia by 2050. People with dementia lose much more than just their memory and their daily living skills; they can also lose their independence, their dignity and status, their confidence and morale, and their roles both within the family and beyond. They can be seen as a burden by society, by their families and even by themselves, and may feel unable to contribute to society. This programme of research ...
Alzheimers Research UKs data dashboard gives people the opportunity to see the impact of dementia on the Clinical Commissioning Groups (CCGs) where they live. It offers insights into peoples hospital experiences, including the number of times people have been admitted and how long they spent in hospital.. The number of people living with dementia is expected to rise to 1m in just three years, the same year that dementia is projected to cost our economy £30bn. The charity hopes its findings will prompt government to deliver on its pledge to double dementia research funding, to save the NHS from the pressures caused by the lack of life-changing treatments for the condition.. Prof Jonathan Schott, Chief Medical Officer at Alzheimers Research UK and Professor of Neurology at the UCL Queen Square Institute of Neurology, said:. The cost of dementia on the UK hospital system is increasing at an alarming rate. These latest findings show the effect that the rising tide of dementia was having on our ...
There is a paucity of data on the prevalence and correlates of Alzheimers disease and related dementias in sub-Saharan Africa. The aim of the study was to estimate the prevalence and correlates of Alzheimers disease and related dementias in rural Uganda. We conducted a cross-sectional, population-based study in a rural region of southwestern Uganda. The Brief Community Screening Instrument for Dementia was administered to a multi-stage area probability sample of 400 people aged 60 years and over. Multivariable logistic regression was used to estimate correlates of probable dementia. Overall, 80 (20%) of the sample screened positive for dementia. On multivariable regression, we estimated the following correlates of probable dementia: age (adjusted odds ratio [AOR], 1.02 per year; 95% confidence interval [CI], 1.10-1.03, p|0.001), having some formal education (AOR, 0.57; 95% CI, 0.41-0.81, p = 0.001), exercise (AOR, 0.44; 95% CI, 0.27-0.72, p = 0.001), and having a ventilated kitchen (AOR, 0.43; (95% CI
Personal accounts of living with dementia can be an invaluable support to people with dementia and give insight to all who work in this area. The Dementia in Europe magazine runs a regular feature about peoples experiences from different countries around Europe.. In this section we have contributions from and/or summaries of literature about peoples experiences of living with dementia.. To read news articles written by people living with dementia, please also see our news section called Living with dementia.. ...
Many people confuse frontal lobe dementia with Alzheimers disease however frontal lobe dementia is not the same as Alzheimers at all. Frontal lobe dementia affects people between the ages of 40-65 and the frontal lobe does not affect memory. Alzheimers does not start until after the age of 65 and affects your memory. The frontal […]. ...
The rate of progression depends on the underlying causes. The duration of history helps establish the cause of dementia; Alzheimers disease is slowly progressive over years, whereas encephalitis may be rapid over weeks. Dementia due to cerebrovascular disease appears to occur stroke by stroke. As a rule, all types of dementia display a tendency to be accelerated by any changes in the environment, intercurrent infections or surgical procedures.. Alzheimers disease is one of the most common consequences of dementia, which can be established during life by the early memory failure and slow progression. Unfortunately, no effective treatment is known. Metabolic dementia can be caused by excessive alcohol consumption or chronic subdural haematoma. Improving the quality of life, there is some evidence that the herbal remedy can delay the progression of dementia and that long-term use of vitamin E may reduce the chances of developing dementia in old age. However, more research is needed.. There are ...
Kate Swaffer was diagnosed with dementia at the age of 49 and since then she has written books and spoken around the world as a leading authority on the condition.. She spoke to an audience of about 120 people at the inaugural Younger Onset Dementia Public Meeting organised by Villa Maria Catholic Homes (VMCH), in Nunawading, recently. Younger Onset Dementia (YOD) describes people under the age of 65 who have the condition. There are about 25,938 Australians living with YOD.. While it has not been an easy road for Kate, she has not let this stop her from reaching out to help others navigate the challenges of YOD. She encourages individuals to push for early support to help them maintain their independence. She also spoke about her efforts in lobbying for change across the sector to understand the unique needs of people with YOD. She also highlighted the importance of more community education and awareness in supporting both the person with the diagnosis and their family. VMCH Dementia and ...
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The event is being organised by members of the Alzheimers Research UK Bristol and Bath Network Centre, a community of dementia researchers from the universities of Bath, Bristol, and the West of England. Alzheimers Research UK is the UKs leading dementia research charity, funding research into the causes of dementia, diagnosis, preventions and treatments. The charity funds more than £33 million of dementia research across the UK, allowing scientists to uncover more about the diseases that cause dementia and contribute to the global effort to put a stop to the heartbreak the condition brings.. Speakers on the day include Dr Nancy Zook, who will talk about the memory and thinking tests used to diagnose dementia; Dr Praminda Caleb-Solly, who will speak about the potential of robotics to support people living with dementia; and Sara Desforges a solicitor who will discuss some of the legal issues that can be important for people with dementia and their families to consider.. Professor Pat Kehoe, ...
Dementia is defined as a decline in cognitive function from baseline. It is a syndrome caused by a variety of disorders, the most common of which are Alzheimer disease, vascular dementia, Lewy body dementia, and frontotemporal dementia. The incidence and prevalence of dementia increase with age. It is estimated that by the year 2047, more than 9 million Americans will have some form of it (1). Institutionalization is ultimately required for many patients with dementia, and 67% die in nursing homes (2). Although there is currently no cure for most forms of dementia, research findings and accumulated clinical experience support a set of practices that serve to maximize the function and overall well-being of patients with dementia and their caregivers ...
TY - JOUR. T1 - Clock drawing test ratings by dementia specialists. T2 - interrater reliability and diagnostic accuracy. AU - Nair, Anil K. AU - Gavett, Brandon E. AU - Damman, Moniek. AU - Dekker, Welmoed. AU - Green, Robert C. AU - Mandel, Alan. AU - Auerbach, Sanford. AU - Steinberg, Eric. AU - Hubbard, Emily J. AU - Jefferson, Angela. AU - Stern, Robert A. PY - 2010. Y1 - 2010. N2 - The authors conducted a study of clock drawing test scoring by dementia specialists to determine interrater reliability and diagnostic accuracy. The authors randomly assigned 25 clocks from each of six predetermined groups based on consensus diagnosis (cognitive comparison subjects, subjects with a memory complaint but with normal neuropsychological testing, subjects with probable and possible mild cognitive impairment, and subjects with possible and probable Alzheimers disease) to dementia specialists for blinded scoring using a binary yes/no impairment system and a 0-10 scale as subjectively determined by each ...
A collection of disease information resources and questions answered by our Genetic and Rare Diseases Information Specialists for Presenile dementia, Kraepelin type
TY - JOUR. T1 - Diagnosis of early dementia by the Double Memory Test. T2 - Encoding specificity improves diagnostic sensitivity and specificity. AU - Buschke, Herman. AU - Sliwinski, Martin J.. AU - Kuslansky, Gail. AU - Lipton, Richard B.. N1 - Copyright: Copyright 2020 Elsevier B.V., All rights reserved.. PY - 1997/4. Y1 - 1997/4. N2 - Objective: To compare the Double Memory Test (DMT) with standard memory tests in the diagnosis of early dementia. Background: Diagnosis of dementia requires memory impairment, but few memory tests coordinate acquisition and retrieval to optimize encoding specificity for high sensitivity and specificity. The DMT was developed to improve early diagnosis. Design: We compared the discriminative validity of the DMT, Paired Associates (PA), and Logical Memory (LM) memory tests in a nested case-control study of 30 cases of early dementia and 90 controls matched for age, education, and sex. Methods: The DMT includes memory tests with (CCR) and without (ICR) encoding ...
This paper evaluates how emergent age-based factors may impact upon the experience of dementia. A review of selected literature is undertaken to explore how personhood has been conceptualised in relation to dementia. It is then highlighted that very little literature explicitly addresses personhood with reference to young onset dementia. Young onset dementia is defined, and evaluation is then undertaken of the distinctive age-based factors that might shape the experience of the condition. It is noted that whilst there are separate literatures on both personhood and young onset dementia, there appears to be little endeavour to draw these two strands of thought together. The distinctive factors that shape young onset dementia suggest that a more heterogeneous perspective should be developed that accounts more appropriately for how personal characteristics shape the lived experience of dementia. The paper concludes that further research should be undertaken that has an explicit focus on personhood ...
University of California Los Angeles (UCLA) Alzheimers Disease Research Center is one of leading Southern California Alzheimers Disease Research Centers(ADRC). Learn about early signs and symptoms on memory loss and last stages of Alzheimers disease and other dementias through one of the best Alzheimers Neurologists; how to delay the early onset Alzheimers disease and treatments on non-alzheimers dementias such as dementia with Lewy Bodies (DLB), vascular or multi-infarct dementia or frontotemporal dementia (FTD) which is also called Picks disease.
Occupational exposure to organic solvents has been implicated in the development of presenile dementia in several studies. The death certificates of all men aged under 65 dying in England and Wales bearing presenile dementia as cause of death were collected for the years 1970-9 (n = 557): control death certificates were obtained, matched for age and sex. No significant differences were found between the groups as regards estimated occupational exposure to either organic solvents or lead.. ...
Introduction: Alzheimers disease (AD) and behavioral variant frontotemporal dementia (bvFTD) are the most common types of early-onset dementia. Early differentiation between both types of dementia may be challenging due to heterogeneity and overlap of symptoms. Here, we apply resting state functional magnetic resonance imaging (fMRI) to study functional brain connectivity differences between AD and bvFTD.Methods: We used resting state fMRI data of 31 AD patients, 25 bvFTD patients, and 29 controls from two centers specialized in dementia. We studied functional connectivity throughout the entire brain, applying two different analysis techniques, studying network-to-region and region-to-region connectivity. A general linear model approach was used to study group differences, while controlling for physiological noise, age, gender, study center, and regional gray matter volume.Results: Given gray matter differences, we observed decreased network-to-region connectivity in bvFTD between (a) lateral visual
University of California Los Angeles (UCLA) Alzheimers Disease Research Center is one of leading California Alzheimers Disease Research Centers(ADRC). Learn about early signs and symptoms on memory loss and Alzheimers disease and other dementias through one of the best Alzheimers Research Centers; how to delay the early onset Alzheimers diesease and treatments on non-alzheimers dementias such as dementia with Lewy Bodies (DLB), vascular or multi-infarct dementia or frontotemporal dementia (FTD) which is also called Picks disease.
University of California Los Angeles (UCLA) Alzheimers Disease Research Center is one of the leading Southern California Alzheimers Disease Research Centers(ADRC). Learn about early signs and symptoms on memory loss and Alzheimers disease and other dementias through one of the best Alzheimers Research Centers; how to delay the early onset Alzheimers diesease and treatments on non-alzheimers dementias such as dementia with Lewy Bodies (DLB), vascular or multi-infarct dementia or frontotemporal dementia (FTD) which is also called Picks disease.
Objective: To characterize and quantify the patterns of temporal lobe atrophy in AD vs semantic dementia and to relate the findings to the cognitive profiles. Medial temporal lobe atrophy is well described in AD. In temporal variant frontotemporal dementia (semantic dementia), clinical studies suggest polar and inferolateral temporal atrophy with hippocampal sparing, but quantification is largely lacking. Methods: A volumetric method for quantifying multiple temporal structures was applied to 26 patients with probable AD, 18 patients with semantic dementia, and 21 matched control subjects. Results: The authors confirmed the expected bilateral hippocampal atrophy in AD relative to controls, with involvement of the amygdala bilaterally and the right parahippocampal gyrus. Contrary to expectations, patients with semantic dementia had asymmetric hippocampal atrophy, more extensive than AD on the left. As predicted, the semantic dementia group showed more severe involvement of the temporal pole ...
Two groups of neuroscientists have discovered that a mutation in the progranulin gene, which encodes a growth factor, can cause frontotemporal dementia (FTD). The condition, the second most common form of dementia among under-65s, impairs memory and personality and may also affect movement. The discovery may help to resolve confusion over the cause of the disease - mutations in a neighbouring gene called microtubule-associated protein tau were shown previously to be associated with some, but not all, cases of FTD. One of two papers detailing that mutations in the gene progranulin, which is found near MAPT on chromosome 17, can cause frontotemporal dementia, a severe neurodegenerative disorder that can affect memory, personality and motor function. The progranulin gene encodes a secreted growth factor. Frontotemporal dementia (FTD) is the second most common cause of dementia in people under the age of 65 years1. A large proportion of FTD patients (35-50%) have a family history of dementia, consistent
There was some confusion about smoking. Some had heard that smoking might protect people from dementia, while others were aware that vascular dementia could be caused by smoking. One family were surprised when the doctor suggested smoking was the cause of their fathers dementia since he only smoked a very occasional cigar and had not been known to smoke a cigarette in nearly 40 years.. Although searching for a cause can be helpful for some families, in most cases no single cause will ever be identified. It is likely that complex genetic factors play a part in susceptibility to dementia, and then lifestyle and environmental factors further modify the risk. The observed link between illness and onset of dementia may in some cases be explained by a delirium (or acute confusional state) secondary to the illness exposing some underlying cognitive impairment, or the early stages of dementia. Similarly, the link of onset of dementia with major life events may be explained by already present ...
Get a diagnosis. It can take a long time to diagnose dementia in younger people, mostly because there is a lack of awareness that dementia can happen in younger people. Take note of your symptoms if you suspect that something might be wrong and see your doctor right away. Heres a helpful tool to help you prepare for your doctors visit.. Share your story. Help reduce the stigma around dementia by talking openly about the changes and challenges that come with living with young onset dementia. Let your friends, colleagues and family members know that people with dementia still want to be a part of their communities and live life to the fullest.. If youre still working. First, research your employee insurance and health care benefits, and find out if they offer an Employee Assistance program. Once you know about your options, consider talking to your employer about your diagnosis. Discuss the possibility of reducing hours and/or tasks and adapting your job duties. Consider retiring early and ...
Get a diagnosis. It can take a long time to diagnose dementia in younger people, mostly because there is a lack of awareness that dementia can happen in younger people. Take note of your symptoms if you suspect that something might be wrong and see your doctor right away. Heres a helpful tool to help you prepare for your doctors visit.. Share your story. Help reduce the stigma around dementia by talking openly about the changes and challenges that come with living with young onset dementia. Let your friends, colleagues and family members know that people with dementia still want to be a part of their communities and live life to the fullest.. If youre still working. First, research your employee insurance and health care benefits, and find out if they offer an Employee Assistance program. Once you know about your options, consider talking to your employer about your diagnosis. Discuss the possibility of reducing hours and/or tasks and adapting your job duties. Consider retiring early and ...
Cerebrospinal fluid (CSF) levels of d-serine were recently reported as a potential new biomarker for Alzheimers disease (AD), showing a perfect distinction between AD patients and healthy controls. In this study, we aimed to confirm these results and extend these previous findings to dementia with Lewy bodies and frontotemporal dementia. d-Serine levels in CSF of 29 AD patients, 8 dementia with Lewy bodies patients, 14 frontotemporal dementia patients, and 28 nondemented controls were measured using ultra-high-performance liquid chromatography-tandem mass spectrometry. In contrast to previous findings, in our study CSF d-serine levels were only slightly increased in AD patients compared with controls. CSF d-serine in AD did not differ from other dementias and was also not correlated to mini-mental state examination-scores. Owing to the large overlap of d-serine levels, we conclude that CSF d-serine is neither a suitable biomarker for AD nor for cognitive decline ...
This study found that the prevalence of dementia for the total NT population aged 45 years and above was higher than national estimates.5 NT has the fastest growing older population of all Australian states, and the prevalence of dementia in NT will continue to increase.14 The rapidly increasing demands on the aged care sector, including for dementia services, have significant implications for social, economic and health care planning in the NT.. Consistent with two previous studies,6,7 the prevalence of dementia among NT Indigenous people aged 45 years and over was much higher than national estimates. The difference in rate ratios between age groups highlights the earlier onset of dementia among the Indigenous population, which is also consistent with the previous study among the WA Indigenous population in the Kimberley region.6 Our study also found markedly higher incidence of dementia in the NT Indigenous population compared with the national estimates.18 The finding of early onset and high ...
TY - JOUR. T1 - Tau-negative amnestic dementia masquerading as Alzheimer disease dementia. AU - Botha, Hugo. AU - Mantyh, William G.. AU - Graff-Radford, Jonathan. AU - Machulda, Mary Margaret. AU - Przybelski, Scott A.. AU - Wiste, Heather J.. AU - Senjem, Matthew L.. AU - Parisi, Joseph E. AU - Petersen, Ronald Carl. AU - Murray, Melissa E. AU - Boeve, Bradley F. AU - Lowe, Val. AU - Knopman, David S. AU - Jack, Clifford R Jr.. AU - Jones, David T. PY - 2018/3/13. Y1 - 2018/3/13. N2 - Objective To describe the phenomenon of tau-negative amnestic dementia mimicking Alzheimer disease (AD) clinically and radiologically and to highlight the importance of biomarkers in AD research. Methods Eight participants with amnestic mild cognitive impairment or AD dementia were evaluated by a behavioral neurologist and had a standardized neuropsychological battery performed. All participants completed structural (MRI) and molecular (amyloid and tau PET) imaging. AD-signature thickness and adjusted hippocampal ...
Parkinsons disease, like Alzheimers disease, is caused at least in part by tangled proteins that steadily build up on neurons.. In Parkinsons disease these clumps are called Lewy bodies. They primarily target dopaminergic neurons in a part of the midbrain called the substantial nigra, the area that controls movement.. The illness is characterized by tremors, instability/loss of balance, poor coordination and stiffness, and generally affects people in their 50s, 60s and beyond, although early-onset cases have been recorded.. These are the well-known symptoms were all familiar with. But cognitive decline and Parkinsons disease dementia may also accompany these symptoms. Researchers have recently discovered biomarkers of cognitive decline in Parkinsons disease, which can help people receive treatment earlier. Heres how to know if someone is coming down with this type of dementia.. As theres still no cure for Parkinsons disease, early intervention and prevention are key. According to the ...
The global treatment for syndromes of dementia & movement disorders market is driven by factors such as rise in geriatric population, growing knowledge and accessibility towards various healthcare services, and increasing investments in R&D. However, lack of appropriate disorder management & long approval time for drugs and devices may hamper the market growth. Furthermore, emerging economies and numerous awareness programs to increase the level of knowledge would be an opportunity in the market.. Market Segmentations. The global treatment for syndromes of dementia and movement disorders market is classified into type and geography. Type segment includes into movement disorders (Parkinsons disease, progressive supranuclear palsy, hallervorden-spatz disease, and multiple system atrophy, among others), progressive dementia (Alzheimers disease, frontotemporal dementia/pick, Lewy body dementia, and others) and progressive dementia with neurological abnormality (amyotrophic lateral sclerosis(ALS), ...
BACKGROUND/AIMS: We developed and validated the Mini-Addenbrookes Cognitive Examination (M-ACE) in dementia patients. Comparisons were also made with the Mini Mental State Examination (MMSE). METHOD: The M-ACE was developed using Mokken scaling analysis in 117 dementia patients [behavioural variant frontotemporal dementia (bvFTD), n = 25; primary progressive aphasia (PPA), n = 49; Alzheimers disease (AD), n = 34; corticobasal syndrome (CBS), n = 9] and validated in an independent sample of 164 dementia patients (bvFTD, n = 23; PPA, n = 82; AD, n = 38; CBS, n = 21) and 78 controls, who also completed the MMSE. RESULTS: The M-ACE consists of 5 items with a maximum score of 30. Two cut-offs were identified: (1) ≤25/30 has both high sensitivity and specificity, and (2) ≤21/30 is almost certainly a score to have come from a dementia patient regardless of the clinical setting. The M-ACE is more sensitive than the MMSE and is less likely to have ceiling effects. CONCLUSION: The M-ACE is a brief and
Dementia Essay, Research Paper DementiaWhat is Dementia? Dementia is an organic brain syndrome which results in global cognitive impairments. Dementia can occur as a result of a variety of neurological diseases. Some of the more well known dementing diseases include Alzheimers disease (AD), multi-infarct dementia (MID), and Huntingtons disease (HD).
BACKGROUND: Previous studies found an association between migraine and dementia, which are two leading causes of disability. However, these studies did not differentiate between migraine types and did not investigate all prevalent dementia subtypes. The main objective of this national register-based study was to investigate whether migraine was a risk factor for dementia. Additionally, we explored potential differences in dementia risk for migraine with and without aura.. METHODS: We obtained data on birth cohorts born between 1935 and 1956 (n = 1,657,890) from Danish national registers. Individuals registered with migraine before age 59 (n = 18,135) were matched (1:5) on sex and birthdate with individuals without migraine (n = 1,378,346). Migraine was defined by International Classification of Diseases (ICD) diagnoses and dementia was defined by ICD diagnoses and anti-dementia medication. After matching, 62,578 individuals were eligible for analysis. For the statistical analyses, we used Cox ...
This review summarises the findings and applications from neuroimaging studies in dementia with Lewy bodies (DLB), highlighting key differences between DLB and other subtypes of dementia. We also discuss the increasingly important role of imaging biomarkers in differential diagnosis and outline promising areas for future research in DLB. DLB shares common clinical, neuropsychological and pathological features with Parkinsons disease dementia and other dementia subtypes, such as Alzheimers disease. Despite the development of consensus diagnostic criteria, the sensitivity for differential diagnosis of DLB in clinical practice remains low and many DLB patients will be misdiagnosed. The importance of developing accurate imaging markers in dementia is highlighted by the potential for treatments targeting specific molecular abnormalities as well as the responsiveness to cholinesterase inhibitors and marked neuroleptic sensitivity of DLB. We review various brain imaging techniques that have been applied to
BACKGROUND: There is currently no disease-modifying treatment available to halt or delay the progression of the disease pathology in dementia. An agreed core set of the best-available and most appropriate outcomes for disease modification would facilitate the design of trials and ensure consistency across disease modification trials, as well as making results comparable and meta-analysable in future trials. OBJECTIVES: To agree a set of core outcomes for disease modification trials for mild to moderate dementia with the UK dementia research community and patient and public involvement (PPI). DATA SOURCES: We included disease modification trials with quantitative outcomes of efficacy from (1) references from related systematic reviews in workstream 1; (2) searches of the Cochrane Dementia and Cognitive Improvement Group study register, Cochrane Central Register of Controlled Trials, Cumulative Index to Nursing and Allied Health Literature, EMBASE, Latin American and Caribbean Health Sciences Literature
TY - JOUR. T1 - Glycosylated hemoglobin level and development of mild cognitive impairment or dementia in older women. AU - Yaffe, Kristine. AU - Blackwell, T.. AU - Whitmer, Rachel. AU - Krueger, K.. AU - Barrett-Connor, E.. PY - 2006/7/1. Y1 - 2006/7/1. N2 - Background: Biological mechanisms linking diabetes and cognition continue to grow, yet the association remains controversial in elders. Whether glycosylated hemoglobin (HbA 1C) level, a marker of glucose control, is predictive of the development of cognitive impairment or dementia is unknown. We determined the association between HbA 1C level and risk of developing cognitive impairment in older women, mostly without diabetes. Methods: We studied 1983 postmenopausal women (mean age, 67.2 years) with osteoporosis who had HbA 1C level measured at baseline. Development of mild cognitive impairment (MCI) or dementia over 4 years was determined as part of a dementia ancillary study. We analyzed risk of MCI or dementia for every 1% of HbA 1C as ...
TY - JOUR. T1 - Glycosylated hemoglobin level and development of mild cognitive impairment or dementia in older women. AU - Yaffe, Kristine. AU - Blackwell, T.. AU - Whitmer, Rachel. AU - Krueger, K.. AU - Barrett-Connor, E.. PY - 2006/7/1. Y1 - 2006/7/1. N2 - Background: Biological mechanisms linking diabetes and cognition continue to grow, yet the association remains controversial in elders. Whether glycosylated hemoglobin (HbA 1C) level, a marker of glucose control, is predictive of the development of cognitive impairment or dementia is unknown. We determined the association between HbA 1C level and risk of developing cognitive impairment in older women, mostly without diabetes. Methods: We studied 1983 postmenopausal women (mean age, 67.2 years) with osteoporosis who had HbA 1C level measured at baseline. Development of mild cognitive impairment (MCI) or dementia over 4 years was determined as part of a dementia ancillary study. We analyzed risk of MCI or dementia for every 1% of HbA 1C as ...
The team now wants to test amlodipine as an effective treatment for vascular dementia in humans. If successful, it is the first clinically proven treatment of vascular dementia as a result of microvascular disease and can be used in people with early signs of the condition to prevent further progression.. Dr. Adam Greenstein, senior clinical lecturer at the University of Manchesters Cardiovascular Sciences, who led the Manchester team, said, The way vascular dementia develops has remained a mystery, and currently clinically proven treatments are No. The symptoms of vascular dementia are faster than ever, and further research could provide patients with hope to prevent the progression of this life-changing disease. . Professor Metin Avkiran, Associate Medical Director of The Hart Foundation, said, Research is the way to better understand this catastrophic disease and find new treatments. This study explores the progression of vascular dementia. Its an important step in finding a new way to ...
A one-day Alzheimers and Dementia Seminar can be coordinated as a workshop or pre-conference, a perfect opportunity for your organization or association to improve care and life for people living with dementia.. Michele Nolta is a Certified Dementia Practitioner Instructor with the National Certification Council for Dementia Practitioners. Her day-long Dementia Seminar is designed for anyone who cares for persons with dementia in any setting: personal homes, community living centers, assisted living residences or nursing homes. The seminar is the required class for those pursuing certification as a certified dementia practitioner with NCCDP. By completion of this session the learner will be able to:. ...
Compared to individuals without dementia, persons who developed dementia subsequently had a significantly higher rate of hospital admissions for all causes and admissions for ambulatory care-sensitive conditions for which proactive care may have prevented hospitalizations, according to a study in the January 11 issue of JAMA.. Nonelective hospitalization of older people, particularly those with dementia, is not a trivial event. Among older persons without dementia, hospitalization for serious illness is associated with subsequent cognitive decline, and frail elders, including those with dementia are at increased risk of delirium, functional decline, and iatrogenic [induced by a physicians activity, manner, or therapy] complications during an inpatient stay. Identifying conditions that precipitate hospitalization of elderly individuals with dementia could focus clinical priorities on secondary and tertiary prevention in the outpatient setting and improve health care for this vulnerable and ...
Research has shown that mixed dementia is more common than previously believed but little is known of its early stages.To examine if incipient mixed dementia can be differentiated from incipient Alzheimers disease (AD) and subcortical ischemic vascular dementia (SVD) using neuropsychological tests, cerebrospinal fluid (CSF) markers, and magnetic resonance imaging markers.We included 493 patients and controls from the Gothenburg MCI study and used the dementia groups for marker selection (CSF total-tau (T-tau), phospho-tau (P-tau), and amyloid-β42 (Aβ42), 11 neuropsychological tests, and 92 regional brain volumes) and to obtain cut-off values which were then applied to the MCI groups.Incipient mixed dementia was best differentiated from incipient AD by the Word fluency F-A-S test and the Trail making test A. CSF T-tau, P-tau, and Aβ42 differentiated incipient mixed dementia from incipient SVD.Incipient mixed dementia is characterized by an AD-like biomarker profile and an SVD-like cognitive ...
People with a learning disability are at increased risk of developing dementia as they age. Figures show that one in ten people with a learning disability develop young onset Alzheimers disease between the age of 50 and 65. People with Downs syndrome are more at risk of developing dementia from their mid-30s onwards; with one in three people with Downs syndrome developing dementia in their 50s. Dementia is less likely to be detected in the early stages for people with a learning disability due to diagnostic overshadowing, meaning that a diagnosis is either given much later down the pathway, or even not at all. Alternatively, a persons learning disability could also lead to an inaccurate diagnosis being given - a person could be presumed to have dementia if for example, they are of a certain age and have Downs syndrome, when in fact their symptoms could be another health condition ...
Frontal variant frontotemporal dementia (fvFTD) can present with a range of social and cognitive impairments. Complicating this clinical picture is a group of non-progressive or phenocopy patients. We present a patient and his father with very slowly progressive fvFTD over decades. Stable MRI and positron emission tomography (PET) imaging abnormalities were present in the presenting patient, with serial neuropsychological assessments that showed no significant change over 15 years. His father also had a 20-year history of functional decline, associated with neuropsychological evidence of change. Neuropathological confirmation of the condition of his father became available. This revealed gross bilateral frontal atrophy and spongiosis in the frontal cortical regions with mild neuronal loss and rounded ubiquitinated perinuclear inclusions, consistent with early stage frontotemporal lobar degeneration with ubiquitin by current neuropathological criteria. The phenotype of frontal variant FTD is ...
Some studies have linked bilingualism with a later onset of dementia, Alzheimers disease (AD), and mild cognitive impairment (MCI). Not all studies have observed such relationships, however. Differences in study outcomes may be due to methodological limitations and the presence of confounding factors within studies such as immigration status and level of education. We conducted the first systematic review with meta-analysis combining cross-sectional studies to explore if bilingualism might delay symptom onset and diagnosis of dementia, AD, and MCI. Primary outcomes included the age of symptom onset, the age at diagnosis of MCI or dementia, and the risk of developing MCI or dementia. A secondary outcome included the degree of disease severity at dementia diagnosis. There was no difference in the age of MCI diagnosis between monolinguals and bilinguals [mean difference: 3.2; 95% confidence intervals (CI): -3.4, 9.7]. Bilinguals vs. monolinguals reported experiencing AD symptoms 4.7 years (95% CI: ...
FederalGrants.com opportunity listing for the Progression Markers for Cognitive Impairment in Parkinsons Disease Dementia (R01 Clinical Trial Not Allowed) federal grant. Includes information on eligibility, deadlines, requirements, and guidelines.
B. Guarnieri, M. Musicco, P. Caffarra, F. Adorni, I. Appollonio, D. Arnaldi, A. Bartoli, E. Bonanni, U. Bonuccelli, C. Caltagirone, G. Cerroni, L. Concari, F. I. I. Cosentino, S. Fermi, R. Ferri, G. Gelosa, G. Lombardi, S. Mearelli, F. Nobili, S. Passero, R. Perri, R. Rocchi, P. Sucapane, G. Tognoni, S. Zabberoni, S. Sorbi, Recommendations of the Sleep Study Group of the Italian Dementia Research Association (SINDem) on clinical assessment and management of sleep disorders in individuals with mild cognitive impairment and dementia: a clinical review, Neurological Sciences, 2014, 35, 9, ...
The Dementia Caregivers Support Group held at Duncaster on the last Monday of each month will next meet Monday, March 27, from 10:30 a.m. to noon, in the Hospitality Room at Duncaster, 30 Loeffler Road. Facilitators are Michelle Wyman, LSW, CDP, and Sara Therion, MSW. To support those who care for a loved one with Alzheimer's or dementia, topics will include communication techniques, caregiver support, safety issues, benefits of activities and daily routine, family dynamics, stages of disease process, behavior management and more. Hartford HealthCare Center for Healthy Aging, Duncaster, and Hartford Hospital Senior Primary Care at Duncaster are sponsoring ...
The Dementia Caregivers Support Group held at Duncaster on the last Monday of each month will next meet Monday, Feb. 27, from 10:30 a.m. to noon, in the Hospitality Room at Duncaster, 30 Loeffler Road. Facilitators are Michelle Wyman, LSW, CDP, and Sara Therion, MSW. To support those who care for a loved one with Alzheimer's or dementia, topics will include communication techniques, caregiver support, safety issues, benefits of activities and daily routine, family dynamics, stages of disease process, behavior management and more. Hartford HealthCare Center for Healthy Aging, Duncaster, and Hartford Hospital Senior Primary Care at Duncaster are sponsoring ...
Dr. Daniel Nightingale, or ?Dr. Dan? is a leading UK Clinical Dementia Specialist now based in the US. He is also an author, writer and speaker, and a world leader in the use of hypnosis for people living with dementia. He runs workshops on Hypnosis for Alzheimers and Dementia with the help of his wife Kathleen Nightingale, a certified clinical hypnotherapist and Dementia Therapy Specialist. He is concerned with developing new techniques for his patients based on their individual responses. One of Dr. Dans greatest strengths is to develop tailor made, individualized treatment plans to improve the quality of life of his patients. Dr. Dans advice for up and coming hypnotists is to ?Think outside the box. When I conducted research using hypnosis with dementia patients I had to break down many doors and barriers to get funding and ethical approval. However, I did it, and much to the amazement of cynics, I have been able to demonstrate that hypnosis can work for this cohort.? You can learn more about Dr.
Perception of nonverbal vocal information is essential in our daily lives. Patients with degenerative dementias commonly have difficulty with such aspects of vocal communication; however voice processing has seldom been studied in these diseases. This thesis comprises a series of linked studies of voice processing in canonical dementias: Alzheimers disease, behavioural variant frontotemporal dementia, semantic dementia and progressive nonfluent aphasia. A series of neuropsychological tests were developed to examine perceptual and semantic stages of voice processing and to assess two aspects of accent processing: comprehension of foreign accented speech and recognition of regional and foreign accents; patient performance was referenced to healthy control subjects. Neuroanatomical associations of voice processing performance were assessed using voxel based morphometry. Following a symptom-led approach, a syndrome of progressive associative phonagnosia was characterised in two detailed case ...
TY - JOUR. T1 - Injury Markers but not Amyloid Markers are Associated with Rapid Progression from Mild Cognitive Impairment to Dementia in Alzheimers Disease. AU - van Rossum, I.A.. AU - Visser, P.J.. AU - Knol, D.L.. AU - van der Flier, W.M.. AU - Teunissen, C.E.. AU - Barkhof, F.. AU - Blankenstein, M.A.. AU - Scheltens, P.. PY - 2012. Y1 - 2012. N2 - Alzheimers disease (AD) is a common cause of mild cognitive impairment (MCI). However, the time between the diagnosis of MCI and the diagnosis of dementia is highly variable. In this study we investigated which known risk factors and biomarkers of AD pathology were associated with rapid progression from MCI to dementia. Of the 203 subjects with MCI, 91 progressed to AD-type dementia and were considered to have MCI-AD at baseline. Subjects with MCI-AD were older, more frequently female and carrier of the APOE-ε4 allele, had lower scores on the Mini-Mental State Examination (MMSE), more medial temporal lobe atrophy (MTA) and lower levels of ...
A new research centre that aims to improve the detection and prevention of dementia, as well as support those affected by the disease, opened today (Wednesday 8 Jan).. The Berkshire Memory & Cognition Research Centre (BMCRC) is a joint initiative between the University of Reading and the Berkshire Healthcare NHS Foundation Trust. The Centre will allow experts to conduct crucial research including how diet and lifestyle can affect dementia, as well as the impact of the disease on carers and their families. In addition the Centre will run clinical trials offering access to possible new treatments and interventions.. Dementia affects 44 million people worldwide. In the Thames Valley today, more than 1% of the population have dementia with the lives of many more affected by the disease. In December, leading nations committed to developing a cure or treatment for dementia by 2025 at the G8 dementia summit.. The new Centre is situated in the Universitys School of Psychology and Clinical Language ...
What we do. 1) A4D offers challenging arts programmes for people in the early stages of dementia.. 2) A4D trains arts facilitators from all over the country in early stage dementia awareness, enabling them to deliver stimulating arts workshops. To date, we have trained over 800 facilitators who after lockdown will reach over 16,000 people affected by dementia. 3) We signpost arts events for people living with dementia nationwide on our website, allowing families across the country who are living with dementia to get involved.. A4D focuses on what people can achieve, often a lot more than they imagine. The workshops, across art forms from music and dance to drama and photography, invigorate and restore confidence, energy and sense of purpose in the community and bring joy to participants and carers alike. A4D publications also serve as valued toolkits for arts organisations looking to develop or improve their arts programmes for people affected by dementia and their carers.. You can make a ...
One of the biggest illusions, and this is not a complaint about this jurisdiction only, is that large dementia charities represent the views of persons with dementia.. They have a myriad of different influences, and certainly it has become dangerous that they legitimise policy directions from which many persons with dementia and caregivers can become totally disenfranchised.. This leaves persons with dementia two options.. The first option is that they can hope to influence large dementia charities better, but this is an impossible task. They act in organised corporate ways, with much marketing and branding power, so if they decide not to adopt the agenda of persons with dementia and carers it would not be altogether surprising.. The second option is to form strategic alliances with general patient groups, but not all persons with a long term condition are users of healthcare services which thus far have typically concentrated on illness rather than health.. The third way, and this is in my ...
Title:The Ultimate Outlier: Transitional Care for Persons with Dementia and BPSD. VOLUME: 14 ISSUE: 9. Author(s):Jiska Cohen-Mansfield*, Colleen A. Ray, Tasmia Hai, Cristina Marcu, Brandy L. Callahan and Morris Freedman. Affiliation:School of Public Health, Tel Aviv University, Tel Aviv 6997801, Neuropsychology and Cognitive Health, Baycrest, Toronto, Neuropsychology and Cognitive Health, Baycrest, Toronto, Neuropsychology and Cognitive Health, Baycrest, Toronto, Neuropsychology and Cognitive Health, Baycrest, Toronto, Sam and Ida Ross Memory Clinic, Baycrest Health Sciences, Toronto. Keywords:BPSD, long term care, dementia, transitional care unit, caregivers, neuropsychology.. Abstract:Background: Transitional care units aim to assist caregivers who cannot manage the care for persons with dementia who manifest behavioral and psychological symptoms of dementia (BPSD). However, there is a dearth of research on such care units. Objective: The current study reviewed one specialized transitional ...