A Memory Clinic at a Geriatric Hospital: A Report on 577 Patients Assessed with the CAMDEX Over 9 Years

2003 ◽  
Vol 37 (3) ◽  
pp. 319-326 ◽  
Author(s):  
Joe A. Stratford ◽  
Dina Logiudice ◽  
Leon Flicker ◽  
Roslyn Cook ◽  
Wendy Waltrowicz ◽  
...  
Keyword(s):  
Psychiatric Disorders ◽  
The Elderly ◽  
International Classification Of Diseases ◽  
Screening Tools ◽  
Cognitive Screening ◽  
Memory Clinic ◽  
Mental Test Score ◽  
Patient Demographics ◽  
Significant Difference ◽  
Icd 10

Objective: To report 9 years’ experience of an Australian memory clinic using the Cambridge Mental Disorders in the Elderly Examination (CAMDEX) assessment schedule, summarizing patient demographics, diagnoses at presentation and the utility of four instruments used in distinguishing patients with and without dementia. Methods: All patients seen at the clinic between December 1989 and September 1998 were assessed using the CAMDEX. Diagnoses were determined according to criteria of the International Classification of Diseases, tenth edition (ICD-10). Results: The mean age of 577 patients seen was 72.9 years and 60.8% were female. Over 40% fulfilled ICD-10 diagnostic criteria for dementia in Alzheimer's disease. A further 24% had another dementing illness. Only 28 patients were ‘normal’. There was no significant difference in the ability of the 107-item Cambridge cognitive examination, the 30-item mini-mental state examination, the 10-item abbreviated mental test score and the 26-item informant questionnaire on cognitive decline in the elderly to differentiate dementia patients from those who were normal or had functional psychiatric disorders. The four cognitive screening tools had high correlations with one another (r = −0.57 to 0.93). Conclusion: Patient demographics and diagnoses were similar to those found in other clinics. Most people who attended the memory clinic had significant cognitive or psychiatric disorders.

Physical activity and cognitive impairment among the elderly in some districts of Ha Nam province in 2018

2021 ◽  
Vol 30 (4) ◽  
pp. 35-41
Author(s):  
Hoang Thi Hai Van ◽  
Dao Anh Son ◽  
Pham Quang Thai
Keyword(s):  
Physical Activity ◽  
Cognitive Impairment ◽  
Elderly People ◽  
The Elderly ◽  
Physical Activities ◽  
International Standards ◽  
Cognitive Screening ◽  
Group Exercise ◽  
Research Subjects ◽  
Significant Difference

The study was conducted on 1,210 elderly people (aged 60 and older) with the purpose of understanding physical activity and cognitive impairment among elderly people in some districts of Ha Nam province in 2018. The results showed that the percentage of elderly people with symptoms of cognitive impairment was high, accounting for 46.36%. There was a significant difference between the rate of cognitive impairment of the group who exercised frequently (41.92%) and that of the group who did not exercise (51.62%) (p<0.05). Compared to the Non-exercise group, the risks of cognitive impairment of group exercise 15 - 45 minutes/week (OR = 0.69; 95% CI: 0.51 - 0.93); group exercise 45 - 90 minute/week group (OR = 0.61; 95% CI: 0.44 - 0.84) and group exercise Over 90 minutes/week (OR = 0.43; 95% CI: 0.27 - 0.67) were all significantly lower. The more time the research subjects exercise, the lower their risk of developing cognitive impairment became. Our finding suggests that physical activities may delay or prevent the onset of cognitive impairment in elderly people. It is necessary to expand research, continue to apply the cognitive screening test based on international standards, while guiding and encouraging elderly people to carry out physical activities according to their capabilities and international recommendations.

scholarly journals Study of psychiatric disorders among nepalese patients working abroad and their family members

2012 ◽  
Vol 6 (4) ◽  
pp. 1-6
Author(s):  
B Yengkokpam ◽  
SK Shah ◽  
GR Bhantana
Keyword(s):  
Psychiatric Disorders ◽  
Psychotic Disorders ◽  
Somatoform Disorders ◽  
Bipolar Affective Disorder ◽  
Family Members ◽  
International Classification Of Diseases ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Classification Of Diseases ◽  
Icd 10

This study was carried out among the patients working abroad and their family members, having various psychiatric disorders. 80 patients attending psychiatry OPD between the age of 15 to 65 years both male and female in the period of July 2009 to July 2010 were included. The results were tabulated as per the diagnostic criteria of International Classification of Diseases (ICD-10). Out of total 80 patients, 41 were males and 39 were females, whose husbands were working abroad. 30 cases were of depression,out of which 16 were males and 14 were females.18 cases were having anxiety disorders out of which 5 were males and 13 were females. 12 cases were suffering from psychotic disorders out of which 10 were males and 2 were females.7 cases were having dissociative disorders with 1 male and 6 females.4 cases were having somatoform disorders with 2 males and 2 females.1 male and 1 female were suffering from mania.1 male and 1 female were suffering from bipolar affective disorder. 2 males were alcohol dependent and 2 males were having obsessive compulsive disorder. 1 male was having organic psychosis. Journal of College of Medical Sciences-Nepal,2011,Vol-6,No-4, 1-6 DOI: http://dx.doi.org/10.3126/jcmsn.v6i4.6718

scholarly journals Optimizing The Diagnosis and Management of Dementia Within Primary Care: A Systematic Review of Systematic Reviews

2021 ◽  
Author(s):  
Brooklynn Fernandes ◽  
Zahra Goodarzi ◽  
Jayna Holroyd-Leduc
Keyword(s):  
Systematic Review ◽  
Primary Care ◽  
Systematic Reviews ◽  
Family Physicians ◽  
Outcome Data ◽  
Screening Tools ◽  
Care Practice ◽  
Cognitive Screening ◽  
Mental Test Score ◽  
Diagnosis And Management

Abstract Background: To understand how best to approach dementia care within primary care and its challenges, we examined the evidence related to diagnosing and managing dementia within primary care.Methods: Databases searched include: MEDLINE, Embase, PsycINFO and The Cochrane Database of Systematic Reviews from inception to 11 May 2020. English-language systematic reviews were included if they described interventions involving the diagnosis, treatment and/or management of dementia within primary care/family medicine and outcome data was available. The risk of bias was assessed using AMSTAR 2. The review followed PRISMA guidelines and is registered with Open Science Framework.Results: Twenty-one articles are included. The Mini-Cog and the MMSE were the most widely studied cognitive screening tools. The Abbreviated Mental Test Score (AMTS) achieved high sensitivity (100%, 95% CI: 70%-100%) and specificity (82%, 95% CI: 72%-90%) within the shortest amount of time (3.16 to 5 minutes) within primary care. Five of six studies found that family physicians had an increased likelihood of suspecting dementia after attending an educational seminar. Case management improved behavioural symptoms, while decreasing hospitalization and emergency visits. The primary care educational intervention, Enhancing Alzheimer's Caregiver Health (Department of Veterans Affairs), was successful at increasing carer ability to manage problem behaviours and improving outcomes for caregivers.Conclusions: There are clear tools to help identify cognitive impairment in primary care, but strategies for management require further research. The findings from this systematic review will inform family physicians on how to improve dementia diagnosis and management within their primary care practice.

Validation of the Addenbrooke’s Cognitive Examination-III in Mild Cognitive Impairment in Arabic Speakers in Egypt

2020 ◽  
pp. 1-5
Author(s):  
Tarik Qassem ◽  
Mohamed S. Khater ◽  
Tamer Emara ◽  
Doha Rasheedy ◽  
Heba M. Tawfik ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Characteristic Curve ◽  
Screening Tools ◽  
Arabic Version ◽  
Cognitive Screening ◽  
Egyptian Arabic ◽  
Arabic Speakers ◽  
Significant Difference ◽  
Addenbrooke’S Cognitive Examination

<b><i>Background and Aims:</i></b> Mild cognitive impairment (MCI) represents an important point on the pathway to developing dementia and a target for early detection and intervention. There is a shortage of validated cognitive screening tools in Arabic to diagnose MCI. The aim of this study was to validate Addenbrooke’s Cognitive Examination-III (ACE-III) (Egyptian-Arabic version) in a sample of patients with MCI, to provide cut-off scores in Egyptian-Arabic speakers. <b><i>Methods:</i></b> A total of 24 patients with MCI and 54 controls were included in the study and were administered the Egyptian-Arabic version of the ACE-III. <b><i>Results:</i></b> There was a statistically significant difference (<i>p</i> &#x3c; 0.001) in the total ACE-III score between MCI patients (mean 75.83, standard deviation (SD) 8.1) and controls (mean 86.26, SD 6.74). There was also a statistically significant difference between MCI patients and controls in the memory, fluency, and visuospatial sub-scores of the ACE-III (<i>p</i> &#x3c; 0.05) but not in attention and language sub-scores. Using a receiver operator characteristic curve, the optimal cut-off score for diagnosing MCI on the ACE-III total score was 81, with 75% sensitivity, 82% specificity, and 80% accuracy. <b><i>Conclusions:</i></b> The results of this study provide objective validation of the Egyptian-Arabic version of the ACE-III as a screening tool for MCI, with good sensitivity, specificity, and accuracy that are comparable to other translated versions of the ACE-III in MCI.

scholarly journals The Coexistence of Psychiatric Disorders and Intellectual Disability in Children Aged 3–18 Years in the Barwani District, India

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Ram Lakhan
Keyword(s):  
Intellectual Disability ◽  
Psychiatric Disorders ◽  
Behavioral Problems ◽  
International Classification Of Diseases ◽  
Disabled Children ◽  
Intellectually Disabled ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Classification Of Diseases ◽  
Icd 10

Background. The coexistence of psychiatric disorders in people with intellectual disability (ID) is common. This study determined the prevalence of psychiatric disorders in children with ID in Barwani, India. Method. A total of 262 children with ID were evaluated for psychiatric disorders using the diagnostic criteria outlined in the International Classification of Diseases (ICD-10). Results. Psychiatric disorders appeared in study participants at the following rates: attention deficit hyperactivity disorder (ADHD), 6.5%; autism, 4.2%; anxiety, 2.7%; bipolar disorder, 1.1%; delusional disorder, 0.8%; depression, 2.3%; obsessive-compulsive disorder, 0.8%; schizophrenia, 1.9%; enuresis, 10.3%; epilepsy, 23.7%; and behavioral problems, 80.9%. The prevalence of psychiatric disorders was statistically higher in severely intellectually disabled children () than mildly intellectually disabled children (). Conclusions. There is a higher prevalence of psychiatric disorders in children with ID when their compared with ID children whose .

Income transfer program for people with disabilities over 16 years old in Brazil

2020 ◽  
Author(s):  
Giovanna Kohatsu ◽  
Mariana Dias Campos ◽  
Eraldo Schunk Silva ◽  
Edson Luciano Rudey ◽  
Mirian Ueda Yamaguchi ◽  
...  
Keyword(s):  
Elementary Education ◽  
Low Income ◽  
People With Disabilities ◽  
The Elderly ◽  
International Classification Of Diseases ◽  
Transfer Program ◽  
Cross Sectional ◽  
Classification Of Diseases ◽  
Icd 10 ◽  
Main Determinants

Abstract Background: The Continuous Cash Benefit Program, known by BPC, is a public policy for assistance that guarantees a monthly income of a minimum wage to the elderly over 65 years old and people with disabilities in a state of poverty. The objective of this study was to analyze the socio-demographic profile of BPC applicants of people with disabilities, their concessions, and rejections, in the category over 16 years old and to identify the prevalence of the main International Classification of Diseases (ICD-10) among the BPC concessions, and the main determinants of the concession. Methods: Exploratory, cross-sectional and retrospective study, with applicants for BPC - People with Disabilities - 16 years or older as of the target audience. The Expert Medical Assessment forms provided by the National Social Security Institute of Brazil from May 2015 to October 2017 were analyzed. Results: The rejections exceeded the concessions, and the incomplete elementary education, mental and behavioral disorders prevailed as the predominant ICD-10 among the 1134 applications analyzed. The main cause of rejection corresponded to the non-fulfillment of the disability criteria for access to the BPC. Concession rates were lower for women, and moderate, severe and complete degrees led to higher concession rates. Conclusion: Although there are social assistance laws for people with disabilities and low income, this population is still in a state of vulnerability.

scholarly journals Mortality Characteristics of Two Populations in the Northern Mediterranean (Croatia) in the Period 1960–2012: An Ecological Study

2018 ◽  
Vol 15 (11) ◽  
pp. 2591
Author(s):  
Robert Doričić ◽  
Tanja Ćorić ◽  
Morana Tomljenović ◽  
Danijela Lakošeljac ◽  
Amir Muzur ◽  
...  
Keyword(s):  
Ecological Study ◽  
International Classification Of Diseases ◽  
Chronic Obstructive ◽  
Stomach Carcinoma ◽  
Obstructive Pulmonary Disease ◽  
Industrial Sectors ◽  
Significant Difference ◽  
Classification Of Diseases ◽  
Icd 10 ◽  
The Town

In the second half of the 20th century, the town of Bakar (Primorje-Gorski Kotar County, Croatia), where a coking plant was operational 1978–1994, experienced intensive industrialisation. The town of Mali Lošinj (Primorje-Gorski Kotar County, Croatia) in this period based its economy on non-industrial sectors. The study goal was comparing mortality characteristics of these populations in the northern Mediterranean for 1960–2012. An ecological study design was used. Data were analysed for 1960–2012 for the deceased with recorded place of residence in the study area. Data on the deceased for 1960–1993 were taken from death reports, for 1994–2012 from digital archives of the Teaching Institute of Public Health, Primorje-Gorski Kotar County. Data on causes of death for 1960–1994 were recoded to the three-digit code of underlying cause of death according to the International Classification of Diseases (ICD–10). Among studied populations significant difference was found among the causes of deaths coded within ICD–10 chapters: neoplasms (particularly stomach carcinoma), mental and behavioural disorders and diseases of the respiratory system (particularly chronic obstructive pulmonary disease, (COPD)). Increase in mortality from neoplasms, increase in respiratory diseases for the area exposed to industrial pollution, also stomach carcinoma and COPD particularly in the town Bakar require further research.

Delirium in palliative care: Detection, documentation and management in three settings

2013 ◽  
Vol 13 (6) ◽  
pp. 1541-1545 ◽  
Author(s):  
Jennifer Hey ◽  
Christian Hosker ◽  
Jason Ward ◽  
Suzanne Kite ◽  
Helen Speechley
Keyword(s):  
Palliative Care ◽  
Screening Tools ◽  
Cognitive Screening ◽  
Mental Test Score ◽  
Management Plans ◽  
Hospital Patients ◽  
Screening And Identification ◽  
Delirium Management ◽  
Hospice Palliative Care ◽  
Hospital Team

AbstractObjectives:Delirium is characterized by disturbances of consciousness and changes in cognition that develop rapidly and fluctuate. It is common in palliative care, affecting up to 88% of patients with advanced cancer, yet often remains insufficiently diagnosed and managed. This study sought to compare rates of screening, documentation, and management of delirium across three palliative care settings — two hospices and one hospital team — and to determine whether definitive documentation of delirium as a diagnosis is associated with improved management of the disorder.Methods:A retrospective review of patient case notes was performed in three U.K. palliative care settings for the presence of: cognitive screening tools on first assessment; the term “delirium” as a stated documented diagnosis; documented terms, descriptions, and synonyms suggestive of delirium; and management plans aimed at addressing delirium.Results:We reviewed 319 notes. The prevalence of delirium as a documented diagnosis ranged from 0 to 8.4%, rising to 35.7–39.2% when both documented delirium and descriptions suggestive of delirium were taken into account. An abbreviated mental test score (AMTS) was determined for 19.6 (H1) and 26.8% (H2) of hospice admissions and for 0% of hospital assessments. Symptoms suggestive of delirium were managed in 56.3% of cases in hospital, compared with 66.7 (H1) and 72.2% (H2) in hospices.Significance of results:Use of the term “delirium” was infrequent in both hospital and hospice palliative care settings, as was the use of routine screening. Many identified cases did not receive targeted management. The definitive use of the term as a diagnosis was associated with clearer management plans in hospital patients. The authors suggest that better screening and identification remains the first step in improving delirium management.

scholarly journals Optimizing the diagnosis and management of dementia within primary care: a systematic review of systematic reviews

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Brooklynn Fernandes ◽  
Zahra Goodarzi ◽  
Jayna Holroyd-Leduc
Keyword(s):  
Systematic Review ◽  
Primary Care ◽  
Systematic Reviews ◽  
Family Physicians ◽  
Outcome Data ◽  
Screening Tools ◽  
Care Practice ◽  
Cognitive Screening ◽  
Mental Test Score ◽  
Diagnosis And Management

Abstract Background To understand how best to approach dementia care within primary care and its challenges, we examined the evidence related to diagnosing and managing dementia within primary care. Methods Databases searched include: MEDLINE, Embase, PsycINFO and The Cochrane Database of Systematic Reviews from inception to 11 May 2020. English-language systematic reviews, either quantitative or qualitative, were included if they described interventions involving the diagnosis, treatment and/or management of dementia within primary care/family medicine and outcome data was available. The risk of bias was assessed using AMSTAR 2. The review followed PRISMA guidelines and is registered with Open Science Framework. Results Twenty-one articles are included. The Mini-Cog and the MMSE were the most widely studied cognitive screening tools. The Abbreviated Mental Test Score (AMTS) achieved high sensitivity (100 %, 95 % CI: 70-100 %) and specificity (82 %, 95 % CI: 72-90 %) within the shortest amount of time (3.16 to 5 min) within primary care. Five of six studies found that family physicians had an increased likelihood of suspecting dementia after attending an educational seminar. Case management improved behavioural symptoms, while decreasing hospitalization and emergency visits. The primary care educational intervention, Enhancing Alzheimer’s Caregiver Health (Department of Veterans Affairs), was successful at increasing carer ability to manage problem behaviours and improving outcomes for caregivers. Conclusions There are clear tools to help identify cognitive impairment in primary care, but strategies for management require further research. The findings from this systematic review will inform family physicians on how to improve dementia diagnosis and management within their primary care practice.

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