scholarly journals EXPERIENCE OF APPLICATION OF FONCETURAM IN THE PRACTICE OF PSYCHOTHERAPIST IN ELDERLY PATIENTS

2021 ◽  
Vol 3 (10(74)) ◽  
pp. 4-5
Author(s):  
E. Levchenko ◽  
P. Klabukov
Keyword(s):  
Cognitive Impairment ◽  
Cognitive Impairments ◽  
Social Activity ◽  
Memory Loss ◽  
Significant Risk ◽  
Cognitive Disorders ◽  
The Elderly ◽  
Self Control ◽  
High Fatigue ◽  
Everyday Communication

The prevalence of cognitive impairment in people over 65 years of age increased significantly in 2020-2021, combined with manifestations of asthenic-depressive and anxiety symptoms.Asthenia in the elderly is manifested by high fatigue and emaciation with an extremely unstable mood, weakening of self-control, impatience, sleep disturbance, memory loss. Cognitive impairments in this category of patients are a significant risk of developing dementia. In the concept of the development of mixed dementia, both neurodegenerative and ischemic components are present in pathogenesis. Depending on the severity, cognitive impairment is classified as mild, moderate, and severe. Mild cognitive impairments are detected only with the most sensitive neuropsychological tests and do not affect daily activity, however, as a rule, they are subjectively aware and cause anxiety. With a moderate severity of cognitive disorders, impairments are not only detected using special techniques, but are also noticeable in everyday communication with the patient. At the same time, difficulties may arise in the most difficult types of professional or social activity, although in general patients remain independent and independent. Severe cognitive impairments require outside help and care, and such patients are treated inpatients [1,2,4].

Elderly patients with cognitive impairments on an ambulance care

2021 ◽  
Vol 25 (2) ◽  
pp. 19-27
Author(s):  
Tatiana Andreevna Bogdanova ◽  
Anna V. Turusheva ◽  
Elena V. Frolova ◽  
Dmitriy L. Logunov
Keyword(s):  
Cognitive Impairment ◽  
Memory Impairment ◽  
Complete Blood Count ◽  
Beta Blockers ◽  
Blood Pressure Measurement ◽  
Depression Scale ◽  
Cognitive Disorders ◽  
The Elderly ◽  
Cross Sectional ◽  
Global Cognition

BACKGROUND: Cognitive impairment is one of the most common geriatric syndromes that occur in the elderly. Dementia is a severe cognitive disorder that results in the professional, social, and functional impairment and gradual loss of independence. However, in most cases, the stage of dementia is preceded by a long period of non-dementia cognitive impairment. In this regard, one of the priorities of public health is to identify potentially reversible forms of dementia and cognitive impairment in the early stages. AIM: To assess demographic characteristics, co-morbidities and factors that are associated with cognitive impairment in adults aged 65 years and over and to determine the prevalence of cognitive disorders in aging population. MATERIALS AND METHODS: cross-sectional study included all patients aged 65 years and older who attended the ambulance care from 24.10.2019 to 15.12.2019 in Saint Petersburg. Measurements: the Montreal cognitive assessment test, the 15-item Geriatric Depression Scale. Data collection included a full medical history, blood pressure measurement, a medication review and blood tests (complete blood count, lipids, hormones, glucose, ALT, AST and creatinine). RESULTS: The prevalence of mild cognitive impairment was 62.9 % (95 % CI 56-70), severe cognitive impairment 8.2 %. We detected that hypertension, stroke, sleep disorders, subjective memory complaints and symptoms of depression were identified as factors associated with CI after adjustment for covariates. Hypertension and depression were related with cognitive impairment (p 0.05). Also patients with depression scored worse in global cognition and attention function (p 0.05). Patients with diabetes had association with a decrease in abstraction function (p = 0.02). Low hemoglobin levels were related with poor global cognition and memory impairment (p 0.01). Beta-blocker use was significantly associated with poor global cognition and memory impairment (p 0.01). CONCLUSIONS: We found that elders have a high prevalence of cognitive disorders. We also demonstrated association between co-morbidities and factors as hypertension, anemia, diabetes, depression and administration of beta-blockers with poor cognitive performance in the elderly.

scholarly journals Fluid Intake Status and its Relationship with Cognitive Impairment among Elderlies of Naein City, Iran

2021 ◽  
Author(s):  
Fatemeh Kaseb ◽  
Zahra Motavalian ◽  
Hossein Fallahzadeh
Keyword(s):  
Cognitive Impairment ◽  
Elderly People ◽  
Significant Relationship ◽  
Fluid Intake ◽  
Cognitive Impairments ◽  
The Elderly ◽  
The Body ◽  
Total Fluid Intake ◽  
Risk Of Death ◽  
The Mean

Introduction: Water, as one of the most essential nutrients, is involved in almost all biochemical processes of the human body. Although different degrees of dehydration have various symptoms such as physical and mental decline, severe dehydration is associated with decreased survival capacity in the physiological environment of the body that can put individuals, especially the elderly, at the risk of death. The present study aimed to determine the status of fluid intake and its association with cognitive impairments in the elderly people of Naein City in 2018. Methods: This cross-sectional study was conducted among 225 randomly selected elderlies in Naein City. Data collection tools included demographic questionnaire, Mini–Mental State Examination, and 24-hour food recall questionnaire. The obtained data were analyzed using ANOVA, t-test and chi-square via SPSS software. Results: The mean of total fluid intake was 2637.05 ± 772.35 ml / day. Among 225 participants, 36.4%, 37.3%, and 26.2% had normal, mild, and moderate cognitive impairment, respectively. Cognitive impairment had a significant relationship with gender, occupational status, level of education, marital status, and place of residence (p < 0.05). No significant relationship was observed between the mean of water consumption and cognitive impairment (p = 0.6). Conclusion: The amount of fluid intake in elderly people living in Naein City was at a satisfactory level. Since no significant relationship was observed between the amount of fluid intake and cognitive impairments and more than half of the participants had cognitive impairments, we hypothesize that other factors are  involved in  prevalent of cognitive impairment.

scholarly journals Game Platform as an Instrument of Psychological Correction of Cognitive Impairment in Cardiac Patients

2019 ◽  
Vol 21 (2) ◽  
pp. 421-434
Author(s):  
Anton V. Solodukhin
Keyword(s):  
Cognitive Impairment ◽  
Cognitive Training ◽  
Cognitive Impairments ◽  
Development Program ◽  
The Elderly ◽  
Diagnostic Methods ◽  
Cardiac Patients ◽  
Design Elements ◽  
Four Levels ◽  
Game Platform

This review article deals with the possibilities of psychological correction of cognitive impairment in cardiac patients using gaming platforms. It introduces some data on the prevalence of cognitive impairment among the elderly. The author gives a classification of cognitive impairment according to severity and the main manifestations of psychological maladjustment, together with a detailed description of aspontanity, inertness, and inactivity. The paper also describes the main diagnostic methods used in the neuropsychological diagnosis of cognitive impairment. The author analyzed the effectiveness of cognitive training for the restoration of cognitive functions. The analysis showed that improvement of cognitive processes is most often observed in patients with mild cognitive impairment and moderate cognitive deficit. The article also present design limits of a digital game environment that must be considered when developing remedial development programs. There is a list of advantages of using a game platform in the correction of cognitive impairments compared to cognitive training programs without the use of game design elements. As an example of a correctional development program, the author introduces a game platform, which consists of four levels of complexity and can be used in the correction of cognitive impairments in cardiac patients.

Serum Immunoglobulins and Cognitive Status in the Elderly: 1. A Population Study

1980 ◽  
Vol 136 (1) ◽  
pp. 33-39 ◽  
Author(s):  
Donna Cohen ◽  
Carl Eisdorfer
Keyword(s):  
Cognitive Impairment ◽  
Population Study ◽  
Elevated Serum ◽  
Cognitive Disorders ◽  
The Elderly ◽  
Cognitive Status ◽  
Cognitively Impaired ◽  
Immunological Factors ◽  
A Current ◽  
Age And Sex

SummaryFifty-seven cognitively impaired elderly had significantly elevated serum IgG (P $0.005) and IgA (P $0.01) levels and similar IgM levels, compared to a population of 65 elderly matched for age and sex, who did not manifest cognitive impairment. These findings are compatible with a current hypothesis that immunological factors may be important in the cognitive disorders observed with increasing frequency among the aged.

Abstract P084: When To Expect And Why To Analyze Cognitive Disorders In Arterial Hypertension

Hypertension ◽  
2020 ◽  
Vol 76 (Suppl_1) ◽  
Author(s):  
Viktoriia Krotova ◽  
Tatyana Khomazyuk
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Cognitive Impairment ◽  
High Risk ◽  
Arterial Hypertension ◽  
Social Activity ◽  
Life Quality ◽  
Cognitive Disorders ◽  
Daily Monitoring ◽  
Close Relatives

To study the relationship between quality of life (LQ) and cognitive impairment, as well as to identify risk factors for their development in patients with arterial hypertension (AH). Examined 509 outpatients with controlled AH stage II with SCORE risk of CVD <5 %. Non-dementia cognitive impairment were found 24,32±0,11 points on МCA scale in 164 (32.2 %). Patients also demonstrated a significant (p <0.001) decrease in the LQ indicators on all SF-36 scales compared to healthy ones by an average of 24.5-66.0 points. According to the results of correlation analysisthe most significant was the direct relationship between cognitive impairment on МCA scale and assessment of physical health (rs=+0,65; p<0,001), mental health (rs=+0,60; p<0,001), life activity limitations (rs=+0,33; p<0,001) and social activity (rs=+0,35; p<0,001), indicating an association between deterioration in LQ components and cognitive impairment.It turned out that the risk factors for developing cognitive impairment with AH were a history of cognitive impairment in close relatives (2.79 (95 % CI 1.15-6.77) compared with healthy people and 2.41 (95 % CI 1.01-5.88) - AH patients without cognitive impairment), a high vegetative index (rs +0.15; p <0.05) according to daily monitoring of BP and elevated levels of systolic BP variability in day and at night, that increased the chances of developing cognitive impairment in AH patients by 2.11 times, (rs = + 0.57 and rs = + 0.61; p<0.001). It was found that the likelihood of developing cognitive impairment exceeds 50 % (high risk) if the level of systolic BP variability is above 12 mm Hg in day (area under ROC curve AUC = 0.891; 95 % CI 0.883-0.940. (AUC = 0.891; 95 % CI 0.883-0.940; ST = 82.5 % and SP = 92.9 %) and at night – over 10 mm Hg (AUC = 0.922; 95 % CI 0.861-0.963; ST = 82.5 % and SP = 85.7 %) according to daily BP monitoring. In patients with AH for more than 10 years with dissatisfaction of life quality, even with controlled blood pressure, the presence of cognitive impairment needs to be clarified in immediate families, and pay attention to the high autonomic index and variability of systolic blood pressure monitored day and night, due to the high risk of development and progression of cognitive impairment, which worsens the prognosis of cardiovascular events.

scholarly journals Awareness of Medical Workers with Early Diagnosis of Cognitive Disorders at the Primary Health Care Level in the Republic of Kazakhstan

2020 ◽  
Vol 8 (E) ◽  
pp. 595-600
Author(s):  
Assel Tukinova ◽  
Gulnar M. Shalgumbayeva ◽  
Zhanna A. Mussabekova ◽  
Roza A. Abzalova
Keyword(s):  
Cognitive Impairment ◽  
Early Detection ◽  
Early Diagnosis ◽  
Work Experience ◽  
Cognitive Disorders ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Region Of Residence ◽  
The Republic

   BACKGROUND: Early detection of cognitive impairments (CIs) has been identified as one of the most important factors for the treatment of the disease. The World Alzheimer report 2011 states that the earlier a diagnosis is known, the better patients can be treated medically, patients and their family members can adapt to the development and learn to deal with the disease. Early diagnosis also leads to higher cost-effectivity, which will further improve, when treatments and social care interventions become more effective in future. It is the first-contact doctor who becomes the main figure in identifying the patient’s cognitive disorders. AIM: This study aimed to research the awareness of medical workers with early diagnosis of cognitive disorders at the PHC level in Kazakhstan. METHODS: It was a cross-sectional study. A survey of primary healthcare workers was conducted to study the early diagnosis of CI in the elderly in the period from December 2019 to March 2020. The questionnaire was developed independently according to international finding and experiences and passed the validation process. The questionnaire included questions such as age, gender, nationality, education, specialty, work experience, conduct early diagnosis of CI or not, what methods respondents know, time available for admission for early diagnosis, desire to learn early diagnosis methods, and the region of residence. RESULTS: The total number of respondents was 823. To the question, “Do you check older patients for early cognitive impairment?” 335 (40.7%) answered “no.” To the question “Do you have time to use methods for the early diagnosis of cognitive impairment in the elderly during admission?” “no” – 354 (43%). To the question “Would you like to learn methods for the early diagnosis of cognitive impairment in the elderly?” The answer was “yes” 759 (92.2%) of respondents. This study reveals that the presence of time during admission, the region of residence, and the desire to study affect whether elder people check for early CI or not, in turn, specialty, education, gender, nationality, age, and work experience do not affect. We have identified a relationship of age, region of residence with the availability of time during admission to use methods for early diagnosis of CI, while it was absent with work experience. The region of residence, the availability of time during admission, and education influenced the respondents’ desire to learn early diagnosis methods, while age and work experience did not. CONCLUSION: The problem of early diagnosis of CI in the elderly at the PHC level is relevant and not fully understood. Early detection of CI at the PHC level is a key element in the fight against such a serious condition as dementia.

scholarly journals Machine learning based identification of elderly persons with cognitive impairment using dynamic time warping

2020 ◽  
Vol 6 (3) ◽  
pp. 360-363
Author(s):  
Jyothsna Kondragunta ◽  
Roman Seidel ◽  
Gangolf Hirtz
Keyword(s):  
Machine Learning ◽  
Cognitive Impairment ◽  
Cognitive Impairments ◽  
The Elderly ◽  
Elderly Persons ◽  
Time Warping ◽  
Gait Parameters ◽  
Dynamic Time ◽  
The Individual

AbstractCognitive changes in general occur with normal aging. This may lead to the prevalence and effect of age associated diseases. The understanding and identification of these age-related cognitive impairments is an important aspect in elderly population. This leads in the simple case, supporting a functional independence of the elderly and in a complex case, an early identification of dementia in advance. One important change with normal aging is the decline in gait functionality. The decline in gait is more visible in the elderly with more cognitive impairment during dual cognitive tasks, multi-tasking exercises. For the classification of the healthy elderly from the elderly having cognitive impairments, the gait data of the elderly is acquired through Kinect V2. A waking trial of 5m long is used to collect the gait data. 3D based pose estimation using the depth data is performed. Gait parameters and gait cycles of the individual elderly are estimated. In this paper, Dynamic Time Warping (DTW) algorithm is used to compare the patterns of the gait cycles of the individual in different trails such as Regular Gait 1 (RG1), Regular Gait 2 (RG2), Counting Backward 1 (CB1), Counting Backward 3 (CB3), Fast Gait (FG) and Words with Special Letters (WSPL). The identified cross levels along with the estimated gait parameters are used for training the machine learning algorithm. Support Vector Machines (SVM) were used for the classification of the elderly persons with or without cognitive impairments. The experiment results proved that such a classification of cognitive impairment levels using 3D pose estimation and machine learning helps in future for the identification of dementia in advance.

scholarly journals Involutive curable cognitive disorders in elderly people

2019 ◽  
Vol 4 (2) ◽  
pp. 27-31
Author(s):  
Fatenkov OV ◽  
Simerzin VV ◽  
Krasovskaya MA ◽  
Sytdykov IKh
Keyword(s):  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Elderly People ◽  
Social Impact ◽  
Clinical Manifestations ◽  
Cognitive Disorders ◽  
The Elderly ◽  
Review Article ◽  
Moderate Cognitive Impairment ◽  
Over Time

The review article describes the characteristics of curable involutive cognitive impairment in the elderly. It is noted that mild cognitive impairment is predominantly neurodynamic in nature, but over time it can transform into a syndrome of moderate cognitive impairment, which, sometimes, is a precursor of dementia. Special attention is given to the clinical manifestations of mild and moderate cognitive impairment, diagnostic criteria, the course of the disease, and its medical and social impact.

scholarly journals Subjective cognitive impairment, cognitive disorders and self-perceived health: The importance of the informant

2019 ◽  
Vol 13 (3) ◽  
pp. 335-342
Author(s):  
Mariana Luciano de Almeida ◽  
Daniela Dalpubel ◽  
Estela Barbosa Ribeiro ◽  
Eduardo Schneider Bueno de Oliveira ◽  
Juliana Hotta Ansai ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Cognitive Performance ◽  
Short Form ◽  
Cognitive Disorders ◽  
Perceived Health ◽  
The Elderly ◽  
Elderly Subjects ◽  
Older Individuals ◽  
Subjective Cognitive Impairment ◽  
Relationship Of

ABSTRACT There is great divergence of results in the literature regarding the clinical relevance and etiology of subjective cognitive impairment (SCI). Currently, SCI is studied as a pre-clinical symptom of Alzheimer's disease, before establishing a possible diagnosis of mild cognitive impairment (MCI). The hypothesis was that SCI is associated with low cognitive performance and poor self-perceived health. Objective: to investigate the relationship of SCI with objective cognitive impairment and self-perceived health in older individuals and to compare SCI reported by the elderly subjects and by their respective informants. Methods: 83 subjects participated in the study, divided between the forms of the Memory Complaint Scale (MCS). Cognition was evaluated by the Addenbrooke's Cognitive Examination - Revised and self-perceived health by the Short Form Health Survey-8. Results: there was no association between SCI and self-perceived health. SCI reported by the older adults was associated with executive functions. SCI reported by the informant was associated with overall cognitive performance, memory, verbal fluency and visuospatial functions. Conclusion: we found more robust results between SCI reported by the informant and cognitive impairment in the elderly assessed. There is a need to include and value the perception of someone who knows the older individual well enough to evaluate SCI globally.

scholarly journals Geraniol Attenuates Oxidative Stress and Neuro-inflammation Mediated Cognitive Impairment in D‑galactose‑induced Mouse Aging Model

2022 ◽  
Author(s):  
Peramaiyan Rajendran ◽  
Rebai Ben Ammar ◽  
Fatma J Al-Saeedi ◽  
Saeed Y. AlRamadan ◽  
Mohammad Bani Ismail ◽  
...  
Keyword(s):  
Oxidative Stress ◽  
Cognitive Impairment ◽  
Memory Loss ◽  
Natural Aging ◽  
The Elderly ◽  
Vital Role ◽  
Neurological Deficits ◽  
Heme Oxygenase 1 ◽  
Related Factor ◽  
Neuro Inflammation

Abstract D-galactose (D-gal) is a reducing sugar drug can induce artificial senescence and aging process that mimic natural aging along with the accompanying brain and liver injury in experimental animals. Therefore, chronic D-gal administration is widely used to induce cognitive impairment, Alzheimer disease and aging in rodents' models. Aging is a phenomenon in which oxidative stress and apoptosis play a vital role. Geraniol (GNL) belongs to the acyclic isoprenoid monoterpenes, presents in essential oils such as those from Cinnamomum tenuipilum and Valeriana officinalis. In the present study, we examined the effects of GNL on D-gal-induced oxidative stress and neuro-inflammation mediated memory loss in mice. Analyzing the behavioral differences between control and treated groups, including the elderly mice, revealed that GNL significantly improved memory in mice treated with D-gal-induced memory loss (supplementary videos are provided). The anti-inflammatory and the anti-oxidative role of GNL were confirmed by both histopathological investigations and biochemical analyses. Mechanistically, GNL appears to activate PI3K/Akt and thus upregulates the nuclear factor erythroid 2-related factor 2 (Nrf2) and the heme oxygenase 1 (HO-1) to reduce the oxidative stress and apoptosis induced after D-gal treatment leading to easing of neurological deficits and cognitive dysfunction in D-gal-induced aging mouse models. Accordingly, our comprehensive behavioral analysis and bioassays suggest GNL as a promising agent preventing cognitive impairment and neurological deficits associated with aging.

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