The Clinical Issues of Age-Related Dementia

Hasegawa, Kanae

doi:10.1620/tjem.161.supplement_29

Cited by 26 publications

(13 citation statements)

References 10 publications

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“…The HDS-R, which was included in the medical examinations, is a neurocognitive functioning test consisting of 9 simple questions. The total score ranges from 0 to 30, with higher scores indicating better neurocognitive function [13]. The HDS-R is the most widely used test for dementia screening of the elderly in Japan.…”

Section: Methodsmentioning

confidence: 99%

Age-Related Hearing Loss and the Factors Determining Continued Usage of Hearing Aids among Elderly Community-Dwelling Residents

et al. 2013

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While hearing aids are recommended for people with age-related hearing loss, many with impaired hearing do not use them. In this study, we investigated how many elderly people in the study area needed hearing aids, and the factors that determined continued wearing of the devices. The study area was Kurabuchi Town, Japan, where 1,437 residents (those aged 65 years or over) were eligible for participation in the study; 1,414 participated, of whom, 103 (7.3%) were already using hearing aids at the start of the study. After the primary screening, hearing aids were lent to 68 participants (4.8%) who did not already have one, 38 of whom (60.3% of the borrowers, representing 2.7% of the total aged population) went on to wear the hearing aid continuously. The Hearing Handicap Inventory for the Elderly (HHIE) score was significantly elevated among these 38 participants. This study indicated that hearing aids are of potential benefit to many local residents. Multivariate logistic regression revealed that HHIE scores were associated with the extent of HA usage. The adjusted odds ratio for a 1-unit increase in HHIE score was 1.08 (95% confidence interval: 1.02–1.14). Programs like this, in which people with impaired hearing are identified at the local level and given appropriate assistance, are useful models for future use in societies with aging populations.

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Section: Methodsmentioning

confidence: 99%

Age-Related Hearing Loss and the Factors Determining Continued Usage of Hearing Aids among Elderly Community-Dwelling Residents

et al. 2013

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“…The total score ranges from 0 to 30, with higher scores indicating better neurocognitive function [28].…”

Section: Methodsmentioning

confidence: 99%

Association of Typical versus Atypical Antipsychotics with Symptoms and Quality of Life in Schizophrenia

2012

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BackgroundSeveral reports on patients with chronic schizophrenia suggest that atypical versus typical antipsychotics are expected to lead to better quality of life (QOL) and cognitive function. Our aim was to examine the association of chronic treatment with typical or atypical antipsychotics with cognitive function, psychiatric symptoms, QOL, and drug-induced extrapyramidal symptoms in long-hospitalized patients with schizophrenia.Methodology and Principal FindingsThe Hasegawa Dementia Scale-Revised (HDS-R), Brief Psychiatric Rating Scale (BPRS), the Schizophrenia Quality of Life Scale, translated into Japanese (JSQLS), and the Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) were used to evaluate cognitive function, psychiatric symptoms, QOL, and drug-induced extrapyramidal symptoms. We examined the correlation between the dose of antipsychotics and each measure derived from these psychometric tests. The student t-test was used to compare scores obtained from psychometric tests between patients receiving typical and atypical antipsychotics. Results showed significant correlations between chlorpromazine (CPZ)-equivalent doses of typical antipsychotics and atypical antipsychotics, and the total BPRS score and BPRS subscale scores for positive symptoms. CPZ-equivalent doses of typical antipsychotics were correlated with the JSQLS subscale score for dysfunction of psycho-social activity and DIEPSS score. Furthermore, the total BPRS scores, BPRS subscale score for positive symptoms, the JSQLS subscale score for dysfunction of psycho-social activity, and the DIEPSS score were significantly higher in patients receiving typical antipsychotics than atypical antipsychotics.Conclusion and SignificanceThese findings suggest that long-term administration of typical antipsychotics has an unfavorable association with feelings of difficulties mixing in social situations in patients with chronic schizophrenia.

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“…Altered consciousness and mental status were measured by the Glasgow coma scale and the Hasegawa dementia scale, revised, respectively. 21,22 The classifi cation and severity of congestive heart failure was based on the New York Heart Association (NYHA) class. 23 Arterial blood gas analysis, white blood cell count, hemoglobin, and serum concentrations of Creactive protein and creatinine were also examined at the fi rst visit, along with a PaO 2 /FlO 2 (fractional pressure of inspired oxygen) ratio and PaCO 2 .…”

Section: Methodsmentioning

confidence: 99%