scholarly journals Vascular dementia as a frontal subcortical system dysfunction

2000 ◽  
Vol 30 (5) ◽  
pp. 997-1003 ◽  
Author(s):  
JEFFREY C. L. LOOI ◽  
PERMINDER S. SACHDEV

Vascular dementia (VaD) is the second most common subtype of dementia in Western countries (Desmond, 1996) and, overall, may be the most common subtype of dementia in the world (Henderson, 1994). Furthermore, the recognition of some major risk factors of cerebrovascular disease makes VaD a form of ‘preventable senility’ (Hachinski, 1992). The last decade has seen a major re-evaluation of the concept of VaD (Erkinjuntti & Hachinski, 1993; Hachinski, 1994), with new diagnostic criteria having been proposed (World Health Organization, 1993; American Psychiatric Association, 1994) but without any consensus (Wetterling et al. 1996). Indeed, some investigators have called for the abandonment of the diagnosis of VaD and the adoption of alternative nosology (Hachinski, 1994). It is therefore time to re-examine the concept of VaD and evaluate its distinctive features.

2021 ◽  
pp. 1-14
Author(s):  
Md Mokbul Hossain ◽  
Fahmida Akter ◽  
Abu Abdullah Mohammad Hanif ◽  
Md Showkat Ali Khan ◽  
Abu Ahmed Shamim ◽  
...  

Abstract The World Health Organization set a target of a 15% relative reduction in the prevalence of insufficient physical activity (IPA) by 2025 among adolescents and adults globally. In Bangladesh, there are no national estimates of the prevalence of IPA among adolescents. The aim of this study was to estimate the prevalence of and risk factors associated with IPA among adolescent girls and boys. Data for 4865 adolescent girls and 4907 adolescent boys, collected as a part of a National Nutrition Surveillance in 2018–19, were analysed for this study. A modified version of the Global Physical Activity Questionnaire (GPAQ) was used to collect physical activity data. The World Health Organization recommended cut-off points were used to estimate the prevalence of IPA. Bivariate and multivariable logistic regression was performed to identify factors associated with IPA. Prevalences of IPA among adolescent girls and boys were 50.3% and 29.0%, respectively, and the prevalence was significantly higher among early adolescents (10–14 years) than late adolescents (15–19 years) among both boys and girls. The IPA prevalence was highest among adolescents living in non-slum urban areas (girls: 77.7%; boys: 64.1%). For both boys and girls, younger age, non-slum urban residence, higher paternal education and increased television viewing time were significantly associated with IPA. Additionally, residing in slums was significantly associated with IPA only among the boys. Higher maternal education was associated with IPA only among the girls. This study identified several modifiable risk factors associated with IPA among adolescent boys and girls in Bangladesh. These factors should be addressed through comprehensive public health interventions to promote physical activity among adolescent girls and boys.


2020 ◽  
Vol 26 (3 Special Issue on COVID-19) ◽  
pp. 394-399
Author(s):  
Seyyed Mohammad Hossein Javadi ◽  
◽  
Roya Marsa ◽  
Fahimeh Rahmani ◽  
◽  
...  

In December 2019, the Chinese government alerted the world to a dangerous virus that spread rapidly in communities. In fact, another acute respiratory syndrome occurred in Wuhan, China, and then spread rapidly to other parts of the world. The World Health Organization (WHO) refers to this virus as nCoV-2019, where n stands for “new” and CoV stands for “coronavirus”. In general, the virus (COVID-19) is similar to acute respiratory syndrome (MERS-CoV), but they are by no means identical


1991 ◽  
Vol 3 (2) ◽  
pp. 349-351
Author(s):  
A. S. Henderson

The etymology of delirium is highly expressive: it comes from the Latin de, meaning down or away from, and lira, a furrow or track in the fields; that is, to be off the track. The precise features of the syndrome have been specified in DSM-111-R (American Psychiatric Association, 1987) and in the Draft ICD-10 Diagnostic Criteria for Research (World Health Organization, 1990).


2010 ◽  
Vol 16 (1) ◽  
pp. 2-9 ◽  
Author(s):  
Norman Sartorius

SummaryThis editorial summarises the work done to prepare ICD–11 and DSM–V (which should be published in 2015 and 2013 respectively). It gives a brief description of the structures that have been put in place by the World Health Organization and by the American Psychiatric Association and lists the issues and challenges that face the two organisations on their road to the revisions of the classifications. These include dilemmas about the ways of presentation of the revisions (e.g. whether dimensions should be added to categories or even replace them), about different versions of the classifications (e.g. the primary care and research versions), about ways to ensure that the best of evidence as well as experience are taken into account in drafting the revision and many other issues that will have to be resolved in the immediate future.


2021 ◽  
pp. 106689692110358
Author(s):  
Ami Patel ◽  
Raza S. Hoda ◽  
Syed A. Hoda

The category of papillary breast tumors includes a limited number of entities. Nonetheless, this relatively uncommon group of tumors seems to instigate a disproportionate degree of diagnostic disquiet. As a group, papillary breast tumors suffer from a relatively high rate of discordant interpretation. The latter is due to the inherent complexity of the lesions compounded by conflicting criteria as well as simmering controversies. For instance, “encapsulated” papillary carcinoma remains contentious with regards to whether these are noninvasive or not, and the assessment of the extent of the invasive versus noninvasive components in many solid papillary carcinomas can be problematic. The latest classification system of breast tumors enunciated by the World Health Organization (WHO), that is, Breast Tumors, which appeared in 2019, mainly sought to incorporate advances in basic and clinical sciences into diagnostic criteria for the entire spectrum of breast neoplasms—including papillary ones. The latter category of tumors is discussed at some length in Breast Tumors; however, it still appears to suffer from some lack of clarity in its subclassification. It is our intent in this communication to provide an overview of the controversies around papillary breast tumors, and offer comments on its coverage in Breast Tumors—so that any tangible or perceived ambiguities therein could be addressed in its next edition.


2021 ◽  
Vol 5 (6) ◽  
pp. 241-243
Author(s):  
Ferhan Soyuer

Physical inactivity constitutes the basis of diseases that reduce life duration and quality and rank first among the causes of death in the world. Worldwide, it has been determined that 23 % of adults aged 18 and over are not active enough. According to the World Health Organization, sedentary life is among the main risk factors for deaths from non-communicable diseases worldwide and causes approximately 3.2 million deaths per year. For this reason, the issue of reducing inactivity has gained importance in the world today. As a solution, it is thought that increasing physical activity requires not only individual but also community-specific, multi-sectoral, multi-disciplinary and culturally appropriate approaches.


2021 ◽  
Vol LIII (1) ◽  
pp. 91-93
Author(s):  
Vladimir D. Mendelevich

The article analyzes the scientific foundations set out in the book by V.E. Pashkovsky 10 lectures on autism. It is noted that the author expresses his own point of view on autism and does not agree with the position of the World Health Organization and the world psychiatric community on the diagnostic criteria and treatment strategies for autism spectrum disorders. If on the issue of the peculiarities of diagnostics, the authors arguments can be recognized as admissible, since the diagnosis in modern psychiatry reflects the consensus of specialists, then some provisions of V.E. Pashkovsky on the topic of the validity of the use of antipsychotics (neuroleptics) for the treatment of patients with autism should be considered as undocumented and misleading specialists.


2017 ◽  
Vol 41 (S1) ◽  
pp. S292-S293 ◽  
Author(s):  
T. Duarte ◽  
C. Ferreira ◽  
N. Santos ◽  
D. Sampaio

IntroductionSuicide is one of the biggest challenges that psychiatrists face, especially in the emergency room. According to the World Health Organization, there are approximately 3000 suicides every day: one every 40 seconds. About half of all violent deaths in the world are suicides with economic costs of billions of euros. The risk assessment is still based on a subjective approach, with no screening or evaluation tools that support the decision about in-hospital or ambulatory treatment for these patients.ObjectivesCreation of a decision tree algorithm that can be used in the emergency room to guide the clinical decision.AimsIncrease the number of avoided suicides.MethodsPubMed database was searched and articles with the words “emergency”, “suicide”, “attempt” “screening” and “prevention” were included. Articles that used the most reliable and valid measurement tools (i.e., Beck Scale for Suicide Ideation and Suicide Probability Scale) for patient evaluation were selected. World Health Organization guidelines and the Portuguese Suicide Prevention Plan were analyzed and an algorithm was designed based on the major risk factors identified.ResultsNo isolated risk factor was successful for preventing suicide: most are chronic and non-individualized. Having family history of suicide, a mental health disease, a suicide plan and previous suicide attempts are considered major risk factors. The algorithm is based on these factors and takes into account interpersonal variability.ConclusionsThe best way to prevent a suicide is to ask patients for major risk factors, and then, by using this algorithm, treat them accordingly.Disclosure of interestThe authors have not supplied their declaration of competing interest.


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