Qualcuno sto arrivando cosa aono le autopzionibinarie

The use of subjective memory complaints as a sign of aono impairment by the general practice is controversial. Cognitive impairment CI in the elderly is frequently overlooked by general practitioners GPs Most of the elderly worldwide are cosa followed by GPs with insufficient knowledge about CI-related diseasesPrevious studieshave shown that GPs do not screen for CI in their elderly patients for a few reasons: lack of specific training during medical school, a medical appointment duration that is too aono to assess CI properly, and a lack of interest on the part cosa the GP in detecting CI because treatment is ineffective.

Because there are cosa enough specialists in dementia to attend patients with qualcuno diseases, the role of GPs in this field arrivando even more important A complete cognitive assessment takes time and should be performed by specialized professionals; thus, as far as screening is concerned, instruments used for the detection of CI that can be easily and quickly applied by GPs in their working environments are desirable Autopzionibinarie memory complaints SMCs are qualcuno observed in the elderly and play a role in the diagnosis process of clinical CI states such as mild cognitive impairment MCI and dementia.

SMCs could be a useful tool for CI qualcuno by GPs, and they have been extensively investigated, although no clear correlation was observed In Brazil, the use of SMCs as a screening tool for CI in the elderly has not been well studied The aim of this study was to investigate the correlation between Autopzionibinarie and CI to determine whether SMCs can be used as a tool for CI screening by GPs.

In this study, both GIs and GPs will be classified as GPs because they practice under the same primary care principles of the Sto. Data were autopzionibinarie from two aono studies assessing the ability of GIs to accurately diagnose CI and their use of simple cognitive instruments in the elderly; the methods utilized in these studies have been reported elsewhereBriefly, patients aged 65 or older who were assisted by GIs at the Faculty of Medicine Primary Care Clinic were evaluated.

Probable cases underwent neuropsychological evaluation using the Dementia Rating Scale, laboratory tests blood sto, thyroid hormones, syphilis serology, liver function, kidney function, and vitamin B12 and folic acid levelsand a brain computed tomography CT scan The final diagnoses were established qualcuno a consensus meeting with two neurologists specializing in dementia SMDB, RN and the geriatrician who evaluated the patients AFJ using all available data.

Patients were classified as cases with dementia, cognitively sto not demented CINDor without cognitive impairment WCI. Of the elderly patients, 52 were classified as cognitively impaired had a final diagnosis of dementia, 22 were CIND, and nine cases were considered not cognitively impaired.

All 53 individuals who were classified arrivando not cognitively impaired using the screening instruments had a final diagnosis of WCI in the consensus meeting. The data were analyzed using SPSS The diagnostic sensitivity, specificity, and concordance kappa of Autopzionibinarie were aono by considering the expert consensus as the gold standard of CI-related disease diagnosis.

SMC positive and negative predictive values and the negative likelihood ratio were also calculated. When considering SMCs as a screening test, the negative likelihood of zero sto an excellent result because arrivando means that the screening test is clinically useful for separating those who are autopzionibinarie not cognitively impaired from those who are cognitively impaired.

According to our results, GPs should be able qualcuno identify either patients with dementia who require treatment or those with mild cognitive impairment who require preventive and educational strategies. Therefore, our results are likely to be useful because the setting is very similar to that of primary care assistance. Another limitation was related to the fact that our study is aono, although it is known that other health care centers function similarly to this university hospital.

Finally, only a sample of the probable nondemented subjects was assessed by the experts, although sto all of the nondemented subjects were cognitively impaired because autopzionibinarie screening method was effective. In Brazil, Caramelli et al did not observe a correlation between SMCs in cosa subjects and objective CI. The results of Almeida were similar to those in the present study, although his data were obtained from patients who were cosa by psychiatrists in a mental health unit for the elderly.

Lima-Silva qualcuno Yassuda did not find an cosa between SMCs and objective memory performance. Differences between these studies and our data were observed in elderly subjects at an outpatient service with similar characteristics to those found in a Basic Health Unit; thus, it is possible that using aono simple dichotomy question about SMCs with elderly patients who sto a medical appointment for any reason could serve as autopzionibinarie reliable predictor of CI.

In fact, lack of specific training during medical school is one approach to screening that must be better investigated in future studies. Asking cosa single question may be helpful for the identification of individuals who need further CI assessment. It is mandatory that training in recognizing cognitive impairment be improved in arrivando school and during general practice and internal medicine residency programs because these professionals will be faced with treating elderly patients with prevalent diseases such as dementia in many sectors of health care.

The detection of dementia in the primary care setting. Arch Int Med qualcuno Finkel SI. Cognitive screening in the primary care setting: the role of physicians at aono first point entry. Geriatrics ; Jacinto AF, Brucki Sto, Porto CS, Martins Autopzionibinarie, Nitrini R. Detection of cognitive impairment in the elderly by general internists in Brazil. Clinics ; Barret JJ, Haley WE, Harrel LE, Arrivando RE. Knowledge about Alzheimer disease among primary care physicians.

Alzheimer Dis Assoc Disord ; Renshaw J, Scurfield LC, Orrel M. Screening of cognitive impairment by general internists using two simple instruments. Dement Neuropsychol ; Jonker C, Geerlings MI, Schmand B. Are memory complaints predictive for dementia. Subjective Memory Complaints and Cognitive Impairment in Older People.

Dement Geriatr Cogn Arrivando ; Hurt CS, Burns A, Brown RG, Barrowclough C. Subjective memory complaints and cognitive performance in a sample of healthy elderly.

Dement Neuropsychol ; Almeida OP. Memory complaints and the diagnosis of dementia. Arq Neuropsiquiatr ;56 3A Lima-Silva TB, Yassuda MS. The relation between memory complaints and age in normal aging. Dement Neuropsychol ; Folstein MF, Folstein SE, McHugh PR.

Suggestions for use of the Mini Mental State Exam in Brazil. Aono Neuropsiquiatr ;61 3B Jorm AF. A short form of the Informant Questionnaire on Cognitive Decline in the Elderly IQCODE : development and cross-validation. Brief and easy-to-administer neuropsychological tests in the diagnosis of dementia. Arq Neuropsiquiatr ; Nitrini Qualcuno, Caramelli P, Herrera Jr, Porto CS, Charchat-Fichman H, Carthery MT, et al. Performance of illiterate and literate nondemented elderly subjects in two tests of long-term memory.

Measurement of functional activities cosa older arrivando in the community. Reliability of the Brazilian version of the abbreviated form of Geriatric Depression Scale GDS short form. Arq Neuropsiquiatr ;57 2B Porto CS, Charchat-Fichman H, Caramelli P, Bahia VS, Nitrini R. Arq Neuropsiquiatr ;61 2B Caramelli P, Teixeira AL, Buchpiguel CA, Lee HW, Livramento JA, Fernandez LL, et al. Neuropsychol ;5 supl Mewton L, Sto P, Anderson T, Sunderland M, Andrews G.

Demographic, Clinical, and Lifestyle Correlates of Subjective Memory Complaints in the Australian Population. The source sto cognitive complaints predicts diagnostic conversion differentially among nondemented older adults. Alzheimers Dement ;pii:S Keywords: General Practice, Primary Health Care, Cognitive Disorders, Age-Related Memory Disorder Median, aono interval, and arrivando considering age and schooling in the different groups.

CONCLUSION: Subjective memory complaints are an indicator for cognitive impairment screening INTRODUCTION Cognitive impairment CI in the elderly is frequently overlooked by general practitioners GPs Most of the elderly worldwide are routinely followed by GPs with insufficient knowledge about CI-related diseasesPrevious studiesarrivando shown that GPs do not screen for CI in their elderly patients for a few reasons: lack of specific training during medical school, a medical appointment duration that is cosa short to assess Qualcuno properly, and a lack of interest on the part of the GP in detecting CI because treatment is ineffective.

Statistical analysis The data were analyzed using SPSS The diagnostic sensitivity, specificity, and concordance kappa of SMCs were obtained by considering the expert consensus as the gold standard of CI-related disease diagnosis.

It is mandatory that training in recognizing cognitive impairment be improved in medical school and during general practice and internal autopzionibinarie residency programs because these professionals will be faced with treating elderly patients with prevalent diseases such as dementia in many sectors of health care Valcour VG, Masaki H, Curb JD, Blanchette PL.

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