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You can call any of these for free. You do not need a diagnosis, an appointment, or a crisis to call — questions and plain exhaustion are reasons enough.

  • 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.
  • 988 Suicide & Crisis Lifeline 988 24/7 Call or text 988, or chat at 988lifeline.org. For anyone in emotional distress or a mental-health crisis, including caregivers.
  • 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. Initiating palliative care consults for advanced dementia patients in the emergency department

    ✓ Peer-reviewed alzhub usefulness score 45 out of 100. Journal of palliative medicine 2014-01-04 End-of-life care

    Preexisting physician attitudes, knowledge, and beliefs prevent emergency physicians from addressing PC needs for AD patients.

  2. Damaging effects of a high-fat diet to the brain and cognition: a review of proposed mechanisms

    ✓ Peer-reviewed alzhub usefulness score 45 out of 100. Nutritional neuroscience 2013-11-26 Risk factors

    The prevalence of obesity is growing and now includes at least one-third of the adult population in the United States.

    Why it matters

    This review discusses ways a high-fat diet and obesity may affect the brain and cognition, including insulin resistance, oxidative stress, inflammation, and vascular alterations. It states that long-term effects of obesity on the brain need further examination and does not test any treatment or prevention for Alzheimer's disease.

  3. A literature review of spaced-retrieval interventions: a direct memory intervention for people with dementia

    ✓ Peer-reviewed alzhub usefulness score 45 out of 100. International psychogeriatrics 2013-07-25 Prevention trials

    Current evidence indicates that spaced-retrieval training is effective in enabling people with dementia to learn new information and behavioral strategies.

  4. EEG beta band activity is related to attention and attentional deficits in the visual performance of elderly subjects

    ✓ Peer-reviewed alzhub usefulness score 45 out of 100. International journal of psychophysiology : official journal of the International Organization of Psychophysiology 2013-05-18 Cognitive tests and assessment

    We have previously shown that beta-band EEG activity is related to attentional modulation in the visual system of cats and humans.

    Why it matters

    This study examined EEG beta band activity in relation to attention and attentional deficits in elderly subjects. It concerns attention in normal aging and does not test treating, curing or preventing Alzheimer's disease.

  5. Multicentre population-based dementia prevalence survey in Japan: a preliminary report

    ✓ Peer-reviewed alzhub usefulness score 45 out of 100. Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society 2012-06-01 Disparities

    Community-based surveys were performed in seven rural areas in Japan to investigate the prevalence of dementia and illnesses causing dementia.

    Why it matters

    This preliminary population survey in Japan found that Alzheimer's disease was the most frequent illness causing dementia and reported a prevalence of dementia higher than in previous reports. It describes how common dementia is, not how to treat, cure, or prevent Alzheimer's disease.

  6. Validity of the Italian version of the Pittsburgh Sleep Quality Index (PSQI)

    ✓ Peer-reviewed alzhub usefulness score 45 out of 100. Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology 2012-04-13 Risk factors

    The aim of this study is to validate the Italian version of the Pittsburgh Sleep Quality Index (PSQI), comparing five different groups of individuals (healthy young and elderly, sleep apnoea syndrome patients, depressed patients, individuals with dementia) by both questionnaire scores and polysomnographic measures.

    Why it matters

    This study tested an Italian version of a sleep quality questionnaire in 50 people, including 10 with dementia, and found it reliably told 'good' from 'bad' sleepers. It is a tool for measuring sleep quality, not a treatment, cure or prevention for Alzheimer's disease.

  7. Polyphenol-rich foods in the Mediterranean diet are associated with better cognitive function in elderly subjects at high cardiovascular risk

    ✓ Peer-reviewed alzhub usefulness score 45 out of 100. Journal of Alzheimer's disease : JAD 2012-01-01 Prevention trials

    Brain oxidative processes play a major role in age-related cognitive decline, thus consumption of antioxidant-rich foods might help preserve cognition.

  8. Changes in cognition

    ✓ Peer-reviewed alzhub usefulness score 45 out of 100. Neurobiology of aging 2011-12-01 Mild cognitive impairment

    The clinical hallmark of Alzheimer's disease (AD) is a gradual decline in cognitive function.

    Why it matters

    This paper describes how Alzheimer's typically begins with decline in episodic memory, which is already evident in mild cognitive impairment and can help predict progression to dementia, especially alongside Alzheimer's biomarkers. It notes recent reports that amyloid accumulation may also be associated with memory performance in cognitively normal people, but it presents no treatment or cure.

  9. Video-telemedicine in a memory disorders clinic: evaluation and management of rural elders with cognitive impairment

    ✓ Peer-reviewed alzhub usefulness score 45 out of 100. Telemedicine journal and e-health : the official journal of the American Telemedicine Association 2011-10-24 Disparities

    VTM is emerging as an effective way to provide consultation and care to rural residents who may not have access to specialty services and can be integrated into current clinical settings.

    Why it matters

    This small program evaluated 15 rural patients with memory complaints using video-telemedicine and found that the format allowed the team to arrive at a working diagnosis and make treatment recommendations. It is about remote diagnosis and management, not about treating, curing, or preventing Alzheimer's disease itself.

  10. Screening utility of the Montreal Cognitive Assessment (MoCA): in place of--or as well as--the MMSE?

    ✓ Peer-reviewed alzhub usefulness score 45 out of 100. International psychogeriatrics 2011-10-03 Cognitive tests and assessment

    This aim of this study was to assess the clinical utility of the Montreal Cognitive Assessment (MoCA) as a screening instrument for cognitive impairment in patients referred to a memory clinic, alone and in combination with the Mini-Mental State Examination (MMSE).

    Why it matters

    This prospective study of 150 memory clinic referrals assessed whether the MoCA works as a screening tool for cognitive impairment, alone and combined with the MMSE. It is about improving detection of cognitive impairment, not about treating, curing or preventing Alzheimer's disease.

  11. Incidence and predictors of advance care planning among persons with cognitive impairment

    ✓ Peer-reviewed alzhub usefulness score 45 out of 100. The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry 2011-08-01 Disparities

    Only a minority of subjects initiated ACP.

    Why it matters

    This study found that by 5 years of follow-up, only 39% of people with mild cognitive impairment or Alzheimer's disease who had no advance directives at first presentation had initiated advance care planning. It concerns planning for future care decisions, not the treatment, cure, or prevention of Alzheimer's disease.

  12. Older patients in the emergency department: a review

    ✓ Peer-reviewed alzhub usefulness score 45 out of 100. Annals of emergency medicine 2010-09-01 Getting a diagnosis

    Older patients account for up to a quarter of all emergency department (ED) visits.

    Why it matters

    This review discusses evaluation and management of older patients in the emergency department, including delirium, dementia, falls and polypharmacy. It offers strategies for emergency care, not for treating, curing or preventing Alzheimer's disease.

  13. Stress and burden among caregivers of patients with Lewy body dementia

    ✓ Peer-reviewed alzhub usefulness score 45 out of 100. The Gerontologist 2010-07-28 Clinical safety

    A factor analysis revealed 3 dimensions of burden: role strain, personal strain, and worry about performance.

  14. Documentation of advance care planning for community-dwelling elders

    ✓ Peer-reviewed alzhub usefulness score 45 out of 100. Journal of palliative medicine 2010-07-01 End-of-life care

    Community-dwelling elders' preferences for end-of-life care are not consistent with documentation in their medical records.

  15. A generative model for image segmentation based on label fusion

    ✓ Peer-reviewed alzhub usefulness score 45 out of 100. IEEE transactions on medical imaging 2010-06-17 Hippocampus size on brain scans

    We propose a nonparametric, probabilistic model for the automatic segmentation of medical images, given a training set of images and corresponding label maps.

  16. Prevalence and pattern of cognitive impairment in rural and urban populations from Northern Portugal

    ✓ Peer-reviewed alzhub usefulness score 45 out of 100. BMC neurology 2010-06-11 Disparities

    The prevalence of cognitive impairment is higher in rural compared with urban populations.

    Why it matters

    In Northern Portugal, cognitive impairment and dementia were more common in rural than urban older populations, and cerebrovascular disease was noted as relevant. This describes where dementia is more common and points to vascular factors, not to any treatment or cure.

  17. When does brain aging accelerate? Dangers of quadratic fits in cross-sectional studies

    ✓ Peer-reviewed alzhub usefulness score 45 out of 100. NeuroImage 2010-01-25 Hippocampus size on brain scans

    Many brain structures show a complex, non-linear pattern of maturation and age-related change.

  18. Mediterranean diet and cognitive function in older adults

    ✓ Peer-reviewed alzhub usefulness score 45 out of 100. Current opinion in clinical nutrition and metabolic care 2010-01-01 Prevention and risk

    A high adherence to the Mediterranean diet has been associated with slower cognitive decline, with reduced risk of mild cognitive impairment conversion to Alzheimer's disease and with reduced risk of Alzheimer's disease.

    Why it matters

    This review reports that in two prospective cohorts of older Americans and French people, high adherence to the Mediterranean diet was associated with slower cognitive decline and reduced risk of mild cognitive impairment converting to Alzheimer's disease. The authors call for replication in other populations before the diet can be proposed as a preventive approach.

  19. Neuropathologic alterations in mild cognitive impairment: a review

    ✓ Peer-reviewed alzhub usefulness score 45 out of 100. Journal of Alzheimer's disease : JAD 2010-01-01 Mild cognitive impairment

    Mild cognitive impairment (MCI), the earliest clinically detectable phase of the trajectory toward dementia and Alzheimer's disease (AD), led to the need for even earlier detection and prevention of AD.

    Why it matters

    This review of autopsy findings reports that most people with amnestic mild cognitive impairment appear to be on a path toward Alzheimer's disease, with neurofibrillary pathology in certain brain regions rather than amyloid plaques as the main basis for memory decline. It is a review of brain tissue findings and does not test any treatment.

  20. Action of estrogens in the aging brain: dementia and cognitive aging

    ✓ Peer-reviewed alzhub usefulness score 45 out of 100. Biochimica et biophysica acta 2009-11-12 Treatments

    Menopause is associated with sharp declines in concentrations of circulating estrogens.

    Why it matters

    This review of clinical trials concluded that estrogen therapy does not improve dementia symptoms in women who already have Alzheimer's disease. It also found that hormone therapy started after about age 65 increases dementia risk.

  21. Improving decision making at the end of life with video images

    ✓ Peer-reviewed alzhub usefulness score 45 out of 100. Medical decision making : an international journal of the Society for Medical Decision Making 2009-08-12 End-of-life care

    Subjects with limited health literacy expressed more uncertainty about their preferences for end-of-life care than did subjects with adequate literacy.

  22. Different cognitive profiles for single compared with recurrent fallers without dementia

    ✓ Peer-reviewed alzhub usefulness score 45 out of 100. Neuropsychology 2009-07-01 Clinical safety

    Relationships between self-reported retrospective falls and cognitive measures (executive function, reaction time [RT], processing speed, working memory, visual attention) were examined in a population based sample of older adults (n = 658).

  23. Phenomenological subtypes of delirium in older persons: patterns, prevalence, and prognosis

    ✓ Peer-reviewed alzhub usefulness score 45 out of 100. Psychosomatics 2009-05-01 Clinical safety

    The data suggest that instruments measuring delirium severity and psychomotor features provide important prognostic information and should be integrated into the assessment of delirium.

  24. Can progressive and non-progressive behavioural variant frontotemporal dementia be distinguished at presentation?

    ✓ Peer-reviewed alzhub usefulness score 45 out of 100. Journal of neurology, neurosurgery, and psychiatry 2009-02-18 Digital health tools

    Progressive and non-progressive patients are difficult to differentiate on the basis of current clinical diagnostic criteria for FTD but a combination of general cognitive, executive dysfunction and impaired ADL measures appear to be the most promising discriminators.

    Why it matters

    This study looked at whether progressive and non-progressive behavioral variant frontotemporal dementia can be told apart at first presentation, and found the groups were largely indistinguishable on presenting clinical features. It concerns frontotemporal dementia diagnosis and progression, not Alzheimer's treatment, cure or prevention.

  25. Mild cognitive impairment and everyday function: an investigation of driving performance

    ✓ Peer-reviewed alzhub usefulness score 45 out of 100. Journal of geriatric psychiatry and neurology 2009-02-04 Clinical safety

    Mild Cognitive Impairment (MCI) involves subtle functional losses that may include decrements in driving skills.

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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