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  • Alzheimer's Association 24/7 Helpline 800-272-3900 24 hours a day, 365 days a year Free, confidential support and information for people with dementia, caregivers, families and the public. Master's-level clinicians. Also Spanish.
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  • Alzheimer's Foundation of America (AFA) Helpline 866-232-8484 9:00 am - 9:00 pm ET, seven days a week Licensed social workers providing support, info and referrals. Also text message and web chat. Text: 646-586-5283

In a medical emergency, call 911. More numbers, and what each line does, on the help page.

Each study has a usefulness score out of 100 (rubric version 4.0). Tap a score to see what makes it up.

Highest usefulness score first. Studies without a score come last.

  1. Cognitive dysfunction and dementia in Parkinson's disease

    ✓ Peer-reviewed alzhub usefulness score 46 out of 100. Journal of neural transmission (Vienna, Austria : 1996) 2004-06-30 Caregiving

    Parkinson's disease (PD) is a slowly progressive neurodegenerative disorder mainly characterized by degeneration of dopaminergic neurons in the substantia nigra and the ventral tegmental area, in combination with a varying loss of central noradrenergic (locus coeruleus), cholinergic (nucleus basalis of Meynert) and serotonergic (dorsal raphe nuclei) integrity, leading to a multitude of motor and non-motor behavioral disturbances.

    Why it matters

    This review states that in about 20-40% of Parkinson's disease patients, subtle early cognitive problems may eventually proceed to dementia, which is an important risk factor for caregiver distress, decreased quality of life, and nursing home placement. It notes that recent studies with the cholinesterase inhibitors galantamine, donepezil, and rivastigmine show promising results in improving cognition and ameliorating psychotic symptoms, which must be further confirmed in randomized controlled trials.

  2. Preserved neural correlates of priming in old age and dementia

    ✓ Peer-reviewed alzhub usefulness score 46 out of 100. Neuron 2004-06-01 Brain scans and imaging

    Implicit memory, including priming, can be preserved in aging and dementia despite impairment of explicit memory.

    Why it matters

    In this fMRI study, older adults without dementia and those in early-stage Alzheimer's dementia showed priming effects and related prefrontal activity changes similar to young adults, suggesting these preserved abilities could be a target for cognitive training and rehabilitation. It is a small imaging study and does not show that such training actually treats, cures or prevents the disease.

  3. HIV-associated nephropathy

    ✓ Peer-reviewed alzhub usefulness score 46 out of 100. AIDS 2004-05-01 Risk factors

    The high prevalence of injecting drug use among affected patients prompted some authors to conclude that concurrent heroin nephropathy, not HIV-1 infection per se, was responsible for this renal syndrome.

    Why it matters

    This article describes HIV-associated nephropathy, a kidney disease in people with HIV, and does not address Alzheimer's disease at all. It provides no information relevant to treating, curing, or preventing Alzheimer's disease.

  4. Nursing home staff attitudes towards residents with dementia: strain and satisfaction with work

    ✓ Peer-reviewed alzhub usefulness score 46 out of 100. Journal of advanced nursing 2003-12-01 Caregiving

    Nursing home staff tended to perceive residents in more negative than positive ways.

    Why it matters

    This survey of 253 nursing home staff found that working with more cognitively impaired residents was associated with high levels of stress, and staff commonly perceived residents as anxious and unpredictable. It describes staff experiences and does not test any treatment or cure for Alzheimer's disease.

  5. Impact of viral and bacterial burden on cognitive impairment in elderly persons with cardiovascular diseases

    ✓ Peer-reviewed alzhub usefulness score 46 out of 100. Stroke 2003-08-14 Cognitive tests and assessment

    We sought to investigate whether the seropositivity of common infections was associated with cognitive function.

    Why it matters

    This study looked at whether seropositivity for common viral and bacterial infections was related to cognitive status in 383 home-dwelling elderly people with cardiovascular diseases. It reports associations between infection markers and cognition, not a treatment, cure or prevention.

  6. Salvia for dementia therapy: review of pharmacological activity and pilot tolerability clinical trial

    ✓ Peer-reviewed alzhub usefulness score 46 out of 100. Pharmacology, biochemistry, and behavior 2003-06-01 Caregiving

    S. lavandulaefolia Vahl. (Spanish sage) extracts and constituents have demonstrated anticholinesterase, antioxidant, anti-inflammatory, oestrogenic and CNS depressant (sedative) effects all of which are currently relevant to the treatment of Alzheimer's disease (AD).

    Why it matters

    Spanish sage extracts and their components show several effects in the laboratory that are relevant to Alzheimer's disease, and a small open-label trial in patients found reduced neuropsychiatric symptoms and improved attention after 6 weeks. However, this was an open-label pilot study, so practice effects or rater and caregiver expectations cannot be ruled out, and it does not show whether the treatment changes the course of the disease.

  7. Dementia caregiver intervention research: in search of clinical significance

    ✓ Peer-reviewed alzhub usefulness score 46 out of 100. The Gerontologist 2002-10-01 Caregiving

    Although many studies have reported small to moderate statistically significant effects on a broad range of outcomes, only a small proportion of these studies achieved clinically meaningful outcomes.

    Why it matters

    A review of dementia caregiver intervention studies published 1996–2001 found that many reported "small to moderate statistically significant effects" but "only a small proportion" reached clinically meaningful outcomes. It still saw promise in delayed nursing-home placement, treatment of caregivers' major and minor depression, and services caregivers highly valued, and it urged researchers to measure whether effects are big enough to matter, not just statistically significant. It is about caregiver outcomes and does not show that any intervention treats or prevents Alzheimer's disease.

  8. Measurement and correlates of family caregiver self-efficacy for managing dementia

    ✓ Peer-reviewed alzhub usefulness score 46 out of 100. Aging & mental health 2002-05-01 Caregiving

    Researchers in the aging field are paying increasing attention to the importance of perceived self-efficacy in understanding experiences and health-related outcomes of family caregivers.

    Why it matters

    In 197 family caregivers, higher symptom management self-efficacy was associated with fewer depressive symptoms, and higher service use self-efficacy was also associated with better outcomes. The study describes measurement of caregiver self-efficacy and its associations, not a treatment for Alzheimer's disease.

  9. Dementia and cognitive impairment three months after stroke

    ✓ Peer-reviewed alzhub usefulness score 46 out of 100. European journal of neurology 2001-11-01 Cognitive tests and assessment

    To investigate the cognitive capacities of a cohort of ischaemic or haemorrhagic stroke survivors and to identify the clinical determinants of post-stroke cognitive impairment, we evaluated 237 patients admitted to a Stroke Unit (mean age 59; SD=12.7).

    Why it matters

    Among 237 stroke survivors evaluated three months after stroke, 55% had disturbed performance in at least one cognitive domain and 6% had dementia. This describes how common cognitive problems are after stroke, but it does not test any treatment for preventing or curing dementia.

  10. [Spanish language adaptation and validation of the Pfeiffer's questionnaire (SPMSQ) to detect cognitive deterioration in people over 65 years of age]

    ✓ Peer-reviewed alzhub usefulness score 46 out of 100. Medicina clinica 2001-06-01 Getting a diagnosis

    Mean age was 74.5 years and 65.5% of them were illiterate.

    Why it matters

    This study developed and validated a Spanish version of the Pfeiffer questionnaire for detecting cognitive impairment in people over 65, recommending a cut-off of 3, or 4 for illiterate patients. It is a screening tool study and does not test any treatment, cure, or prevention.

  11. The Mini-Cog: receiver operating characteristics with expert and naïve raters

    ✓ Peer-reviewed alzhub usefulness score 46 out of 100. International journal of geriatric psychiatry 2001-02-01 Cognitive tests and assessment

    As elderly populations grow, dementia detection in the community is increasingly needed.

    Why it matters

    This study describes the development and scoring of the Mini-Cog, a brief dementia screen, and its accuracy with expert and naïve raters. It is about a screening test, not about treating, curing or preventing Alzheimer's disease.

  12. This study estimated the prevalence of dementia in 2,285 new admissions age 65+ to a statewide sample of 59 nursing homes in Maryland, 1992-1995.

    Why it matters

    Among new nursing home admissions, about 48% had dementia, and the study suggests some residents with dementia may not need the level of medical supervision nursing homes provide. This is about how common dementia is in nursing homes and care needs, not about treating, curing, or preventing Alzheimer's disease.

  13. Cognition and synaptic plasticity in diabetes mellitus

    ✓ Peer-reviewed alzhub usefulness score 46 out of 100. Trends in neurosciences 2000-11-01 Risk factors

    Diabetes mellitus is associated with cognitive deficits and an increased risk of dementia, particularly in the elderly.

    Why it matters

    This review states that diabetes mellitus is associated with cognitive deficits and increased risk of dementia, and discusses possible molecular changes in animal models. It does not report a tested treatment, cure, or prevention for Alzheimer's disease.

  14. Undetected dementia in community-dwelling older people: the Canadian Study of Health and Aging

    ✓ Peer-reviewed alzhub usefulness score 46 out of 100. Journal of the American Geriatrics Society 2000-11-01 Clinical safety

    A large number of older persons are living in the community with undetected dementia.

  15. Subjective memory complaint in relation to cognitive performance and depression: a longitudinal study of a rural Chinese population

    ✓ Peer-reviewed alzhub usefulness score 46 out of 100. Journal of the American Geriatrics Society 2000-03-01 Disparities

    SMC was associated with poorer objective memory performance even after controlling the effect of depression and demographic data, but SMC did not predict faster cognitive decline or dementia over 3 years.

    Why it matters

    People who reported trouble with their memory scored lower on cognitive tests and higher on depression symptoms, but having this complaint was not linked to faster cognitive decline over the past or following 3 years. This means subjective memory complaint alone did not predict faster decline in this population.

  16. The quality of life in Parkinson's disease

    ✓ Peer-reviewed alzhub usefulness score 46 out of 100. Movement disorders : official journal of the Movement Disorder Society 2000-03-01 Cognitive tests and assessment

    The objective of this study was to examine the quality of life in patients with Parkinson's disease (PD) in a community-based sample (n = 228 patients) using a Medical Outcomes Study 36-Item Short Form Health Survey (SF-36) as a measure.

    Why it matters

    This study examined quality of life in Parkinson's disease and its associations with variables including dementia. It does not test any treatment, cure or prevention for Alzheimer's disease.

  17. The value of the Rivermead Behavioural Memory Test (Children's Version) in an epidemiological study of older adults with Down syndrome

    ✓ Peer-reviewed alzhub usefulness score 46 out of 100. The British journal of clinical psychology 1998-02-01 Down syndrome and Alzheimer's

    The Rivermead Behavioural Memory Test for Children (RBMT-C) was used to assess a population-based sample of 74 people with Down syndrome (DS) aged 30 years and over (range 30-65 years) living in the Cambridge health district.

    Why it matters

    This study assessed whether a children's memory test could measure memory function in older adults with Down syndrome who are at risk for Alzheimer's disease. It found the test was usable for about two-thirds of the group and that memory differed between younger and older participants, but it does not test any treatment or cure.

  18. Incidence and prevalence of dementia in a multiethnic cohort of municipal retirees

    ✓ Peer-reviewed alzhub usefulness score 46 out of 100. Neurology 1997-07-01 Disparities

    Risk of dementia by age 80 was more pronounced for Hispanic and black men compared with white men.

    Why it matters

    This study measured how common and how frequent dementia was among Black, White, and Hispanic municipal retirees, finding that risk of dementia by age 80 was more pronounced for Hispanic and Black men compared with White men. It provides information about who is affected but does not test any treatment, cure, or prevention.

  19. An epidemiological study of dementia in a rural community in Kerala, India

    ✓ Peer-reviewed alzhub usefulness score 46 out of 100. The British journal of psychiatry : the journal of mental science 1996-06-01 Disparities

    Dementia is an important cause of morbidity in the geriatric population in this community, where families take responsibility for the care of relatives with dementia.

    Why it matters

    In a rural community in Kerala, India, dementia prevalence was 31.9 per thousand among people aged 60 and above, with vascular dementia the most common subtype and smoking and hypertension noted as associated factors. This describes local prevalence and risk factors, not a treatment or cure.

  20. Minimum Data Set Plus (MDS+) scores compared with scores from five rating scales

    ✓ Peer-reviewed alzhub usefulness score 46 out of 100. Journal of the American Geriatrics Society 1996-03-01 Cognitive tests and assessment

    Cross-sectional correlational study of criterion-related validity.

    Why it matters

    This study compared Minimum Data Set Plus ratings of behavior, function, mood, communication and cognition with five other rating scales in nursing home residents. It is about the validity of assessment tools, not about treating, curing or preventing Alzheimer's disease.

  21. The Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE) as a screening tool for dementia for a predominantly illiterate Chinese population

    ✓ Peer-reviewed alzhub usefulness score 46 out of 100. Neurology 1995-01-01 Cognitive tests and assessment

    The Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE) provides ratings of an individual's changes in everyday cognitive functions during the previous 10 years.

    Why it matters

    This study tested the Informant Questionnaire on Cognitive Decline in the Elderly as a dementia screening tool in a predominantly illiterate Chinese population. It is about finding a screening method that is not affected by education, not about treatment, cure or prevention.

  22. Characteristics of nonresponders in a community survey of the elderly

    ✓ Peer-reviewed alzhub usefulness score 46 out of 100. Journal of the American Geriatrics Society 1994-12-01 Disparities

    Nonresponders in community surveys of the elderly appear to be disproportionately cognitively impaired.

    Why it matters

    This study examined what factors predicted who responded to a community survey of cognitive status in the elderly. It is about survey participation, not about treating, curing or preventing Alzheimer's disease.

  23. Hippocampal sclerosis: a common pathological feature of dementia in very old (> or = 80 years of age) humans

    ✓ Peer-reviewed alzhub usefulness score 46 out of 100. Acta neuropathologica 1994-01-01 Brain tissue and pathology

    In a neuropathological study of 81 brains of prospectively studied subjects of 80 years of age or older at the time of death, 13 cases (16%), including 4 men and 9 women, had hippocampal sclerosis (HpScl) affecting the vulnerable region of the hippocampus.

    Why it matters

    This neuropathological study found hippocampal sclerosis in 16% of brains from people aged 80 or older and in 26% of demented subjects in that age group. It describes a pathological feature and does not test any treatment or cure.

  24. A clinicopathologic study of 100 cases of Parkinson's disease

    ✓ Peer-reviewed alzhub usefulness score 46 out of 100. Archives of neurology 1993-02-01 Lewy body dementia

    The clinical details of 100 cases of histologically confirmed Parkinson's disease were examined and correlated with pathologic findings.

    Why it matters

    In 100 autopsy-confirmed Parkinson's cases, dementia occurred in 44%, with Alzheimer's disease found in 29% and no definite pathologic cause in 55%. This describes the overlap between Parkinson's and Alzheimer's pathology but tests no treatment or prevention.

  25. Assessment of behavioral problems in dementia: the revised memory and behavior problems checklist

    ✓ Peer-reviewed alzhub usefulness score 46 out of 100. Psychology and aging 1992-12-01 Caregiving

    The Revised Memory and Behavior Problems Checklist (RMBPC), a 24-item, caregiver-report measure of observable behavioral problems in dementia patients, provides 1 total score and 3 subscale scores for patient problems (memory-related, depression, and disruptive behaviors) and parallel scores for caregiver reaction.

    Why it matters

    This 1992 paper introduced the Revised Memory and Behavior Problems Checklist, a 24-item questionnaire in which a caregiver reports observable memory problems, depression and disruptive behaviour in a person with dementia, and separately rates how much each problem upsets the caregiver. In 201 older patients and their caregivers, the overall scores were internally consistent (α = .84 for patient behaviour, .90 for caregiver reaction; subscales .67–.89), and the authors report that scores matched established measures of depression, cognitive impairment and caregiver burden. It is a measurement tool for clinics and research, not a treatment, and its reliability figures do not cover consistency over time.

From across this topic

10 of the 7,967 studies in this topic, picked by a fixed rule (a hash of each study's address), not by score or date; each page of this list shows a different 10. The same 10 appear here every time.

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