Guía de práctica clínica. Conducción de vehículos en el deterioro cognitivo y la demencia

Occupational complexity of paid work and housework, and its impact on the cognitive performance in community dwelling older adults, preliminary results

“…For the selection of the sample, it was considered the scores in the cognitive screening battery, functional level, and cognitive status. The following instruments and criteria were used for the selection of the sample in the present study: the Mini-Mental State Examination (MMSE) 15 was used for general cognitive status; the study only included subjects with higher values for the cutoff point adjusted by age and education stated by the cited norms; the presence of depression was assessed through the Beck Depression Inventory 16 and the subject’s score had to be less than 10 points; patient’s functional level was assessed with the Barthel index 17 and scores were expected to be higher than 60 points in order to include the subject in the sample; instrumental activities of daily life were evaluated through the Inventory of Instrumental Activities of Daily Life (IADL) by Lawton and Brody 18 , where the score should be 0 points, which indicates total functional independence; subjects of the study came from interviews carried out within the framework of cognitive evaluations; and the scales that evaluate the functional level of the patient were answered by their companion, who could only be a family member or acquaintance of the subject being evaluated.…”

Diagnostic accuracy of the Phototest for cognitive impairment and dementia in Argentina

“…Phototest, MMSE and CDT were applied in the same day and under similar procedures to all participants. We used the validated version of MMSE (Allegri et al, 1999;Butman et al, 2001) in Argentina and the Freedman scoring scheme for CDT (Freedman et al, 1994). All participants were assessed with a 90-minute battery of psychometric tests including: Logical memory test of immediate and delayed recognition, Wechsler Memory Scale III (Wechsler, 1997); RAVLT (Rey, 1941(Rey, , 1964; Boston Naming Test (Kaplan, Goodglass, & Weintraub, 1983); Categorical and Phonological Verbal Fluency Test (VFT; Morris et al, 1989); Digit Span Forward and Backward (Wechsler, 1997);and Trail Making Test A and B (Reitan, 1958).…”

“…Participants with a-MCI were considered to meet criteria for single domain amnestic MCI (Petersen, 2004;Petersen et al, 1999) if: (1) they expressed concern regarding their memory; (2) they performed at least 1.5 standard deviations (SD) below average on standardized memory tests compared to age and education-level matched controls; (3) Mini-Mental State Examination (MMSE, adjusted for age and education; Allegri et al, 1999;Folstein et al, 1975) score showed absence of global cognitive impairment (4) Clinical Dementia Rating (Morris, 1993) = 0.5. Memory Box score was at least 0.5; and (5) managed daily functioning successfully as measured by the FAQ (Functional Assessment Questionnaire; Pfeffer, Kurosaki, Harrah, Chance, & Filos, 1982) and a clinical interview.…”

“…Short cognitive tests are considered more appropriate screening instruments than long tests for cognitive impairment in the clinical setting (Carnero Pardo, 2002). There are validated Rioplatense-Spanish version of dementia screening instruments in Argentina as the Mini Mental State Examination (MMSE; Allegri et al, 1999;Butman et al, 2001;Folstein, Folstein, & McHugh, 1975); the Addenbrooke's Cognitive Examination (ACE; Sarasola, Calcagno, Sabe, Caballero, & Manes, 2004), the Addenbrooke's Cognitive Examination Revised (ACE-R; Torralva et al, 2011), the Memory Impairment Screen (MIS; Rojas, Serrano, & Allegri, 2008) the shortened form of the Spanish Boston Naming Test (Serrano et al, 2001), the Spanish Verbal Fluency (Butman, Allegri, Harris, & Drake, 2000) and the Clock Drawing Test (CDT; Gigena, Mangone, Baumann, DePascale, & Sanguinetti, 1993). These screening tests are the most commonly used instrument by general practitioners, but show education and language/cultural bias (MMSE, ACE, MIS, Spanish Verbal Fluency, CDT), are described as impractical because they take 10-20 minutes to administer (MMSE, ACE, ACE-R), require paper and pencil (MMSE, ACE, ACE-R, CDT), only evaluate memory (MIS) and cannot be applied to illiterate persons (MMSE, ACE, ACE-R, MIS).…”

Reconocimiento facial de emociones básicas en demencia frontotemporal variante conductual y en enfermedad de Alzheimer

“…La media de edad de 67 a ños y una media de escolaridad de 6 a ños. Se consideraron criterios de exclusión: antecedentes de enfermedades neurológicas, del desarrollo, trastornos psiquiátricos y un puntaje bruto inferior a 24 puntos en el Mini Mental State Examination (MMSE) 30,31 .…”