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Six Item Cognitive Impairment Test

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201. Depressive symptoms predict incident cognitive impairment in cognitive healthy older women. Full Text available with Trip Pro

Medicine.Community-based sample of 436 older, nondemented women.Participants were followed up with regular medical and neuropsychiatric evaluations. Cognitive assessment included episodic immediate and delayed memory, psychomotor speed, and executive functioning. Participants were characterized as having incident impairment on a cognitive test when scores fell below the 10th percentile on age-adjusted norms. Baseline depressive symptoms were measured using the Geriatric Depression Scale (GDS) (30-item). Discrete (...) Depressive symptoms predict incident cognitive impairment in cognitive healthy older women. There is an increasing evidence that depressive symptoms are associated with the development of cognitive impairment and dementia in late life. The authors sought to examine whether depression increased the risk of incident cognitive impairment in a longitudinal study of older women.Observational study, up to six examinations spanning up to 9 years.University-based Division of Geriatric

2010 The American Journal of Geriatric Psychiatry

202. Efficacy and cognitive side effects of electroconvulsive therapy (ECT) in depressed elderly inpatients with coexisting mild cognitive impairment or dementia. (Abstract)

. The patients were divided into 3 groups (no cognitive impairment [NCI], mild cognitive impairment [MCI], dementia) and rated for cognitive performance with the MMSE before first ECT, after sixth ECT, and 6 weeks and 6 months after ECT termination. Affective symptoms were rated by 21-item Hamilton Depression Rating Scale (HDRS-21) before and 6 weeks after ECT. Analysis of variance or Kruskal-Wallis tests on ECT-induced MMSE and HDRS-21 score changes were compared to baseline. Binary logistic regression (...) Efficacy and cognitive side effects of electroconvulsive therapy (ECT) in depressed elderly inpatients with coexisting mild cognitive impairment or dementia. To study cognitive performance in depressed geriatric inpatients with or without preexisting cognitive impairment who received a first course of electroconvulsive therapy (ECT).Forty-four elderly inpatients with major depressive disorder (ICD-10 criteria) were included in a prospective consecutive case series of a university hospital

2010 Journal of Clinical Psychiatry

203. Deployment of personnel to military operations: impact on mental health and social functioning Full Text available with Trip Pro

the consequences of deployment on the mental health and social function on service memberssince the fall of the Iron Curtain in early 1989. 1.1.1 Military operations in the post‐Cold War era The landscape of military deployment has changed dramatically since 1989. While military deployment by its very nature carries substantial risk of exposure to events and experiences that may physically and mentally impair those directly engaged in combat and those engaged in support functions, there are a number of reasons (...) troop demands and the nature of operations affect the length of deployment. Generally, however, deployment length varies between six and 12 months. argue that mental “resilience” may decrease over time, therefore the period of time between multiple deployments and the number of deployments may also be important factors for predicting the experience of trauma. This is particularly relevant since, as a result of the large scale troop demands for recent operations in Iraq and Afghanistan, military

2018 Campbell Collaboration

204. Recovery schools for improving behavioral and academic outcomes among students in recovery from substance use disorders: a systematic review Full Text available with Trip Pro

, legal problems, and substance use tolerance and progression (American Psychiatric Association [APA], 2013). Prior research has documented the multiple negative effects from prolonged and heavy substance use, including diminished memory and cognitive abilities, reduced grades, a decreased likelihood of finishing high school or attending post‐secondary education, problems attaining or keeping employment, higher rates of more acute and chronic health conditions than those without a history of use (...) of life except infancy” ( , p. 431). These changes begin in adolescence and continue into emerging adulthood and involve pubertal and cognitive development, and identity, relationship, and achievement transitions ( ). Generally, the period of adolescence lasts from ages 10–19, although the World Health Organization's term “young people” includes individuals between 10–24 years of age (World Health Organization, 2016). Adolescent neurodevelopment has been described as a biologically critical period

2018 Campbell Collaboration

205. Effectiveness of interventions to reduce homelessness: a systematic review and meta?analysis Full Text available with Trip Pro

analysed the data using (standardized) mean difference ((S)MD) with the corresponding 95% CI. We used SMD when length of time was measured different between pooled studies (e.g. in days versus months, etc.). We conducted meta‐analyses using RevMan 5,using a random‐effects model and inverse‐variance approach(38). This method allowed us to weight each study according to the degree of variation in the confidence in the effect estimate. In cases where the means, number of participants and test statistics (...) for t‐test were reported, but not the standard deviations, and there was the opportunity to include results in a meta‐analysis, we calculated standard deviations, assuming same standard deviation for each of the two groups (intervention and control). Heterogeneity We assessed statistical heterogeneity using I 2 . Where I 2 was less than 25% we considered the results to have low heterogeneity. Where I 2 was greater than 50% we considered the results to have high heterogeneity. Where

2018 Campbell Collaboration

206. School?based interventions for reducing disciplinary school exclusion: a systematic review Full Text available with Trip Pro

International Survey (TALIS) revealed that teachers spend at least 20% of lesson time dealing with disruption and administrative tasks. In the United Kingdom, the Behaviour Survey 2010 states that 80% of school teachers felt their ability to teach effectively was impaired by students’ poor behaviour ( ). On a global level, evidence suggests that 13% of teachers’ time is, on average, spent maintaining order (OECD, 2009). Schools use different procedures to manage discipline, including a range of punitive (...) to have a clear role in predicting exclusion. For other variables of interest such as sex, age or socio‐economic status most of the evidence is limited to bivariate associations. Regarding the outcomes, while there is a stark link between misbehaviour (e.g., school drop‐out and delinquency) and school exclusion, there is no clear causal relationship. Notwithstanding decades of research on school exclusion and its impact on later behaviour, we are still at an initial stage for testing causal

2018 Campbell Collaboration

207. Guidance on the clinical management of anxiety disorders, specifically focusing on diagnosis and treatment strategies

- ety in these other contexts (Andrews et al., 2009; Goldberg et al., 2009). • • Separation anxiety. • • Other disorders (e.g. psychosis, cognitive impairment, substance use disorders or personality disorders), for which the approach to treatment will differ. Working group The RANZCP Clinical Practice Guidelines Team for Panic Disorder, Social Anxiety Disorder and Generalised Anxiety Disorder (working group) was appointed in 2014, com- posed of health care academics and clinicians from Australia (...) of the clinician. The clinician should develop a detailed biopsychosocial formulation based on comprehensive assessment, for example: • • The nature, severity and duration of symptoms; • • The underlying cognitions; • • Behavioural and cognitive responses to anxiety (e.g. avoidance, worry, reassurance-seeking, safety behaviours); • • Precipitants for anxiety; • • The degree of distress and functional impairment; • • The presence of any comorbid mood disorders or anxiety disorders, substance use disorders

2018 Royal Australian and New Zealand College of Psychiatrists

208. The experience of the transition to retirement: Rapid evidence review

of life. With this in mind, we identified two themes around health in our review: i) the impact of health and disability on retirement expectations and adjustment and ii) the impact of subjective life expectancy on retirement expectations. The key findings are: - Poor health, in general, leads to poorer planning for retirement, whilst having a disability or impairment results in greater planning. - We can tentatively say that when poor health leads to early retirement it has an impact on retirement (...) are: • Overall, the literature showed a lack of both preparedness and planning for retirement. • Cognitive ability had a major impact on retirement preparedness and control over the retirement decision. • Socioeconomic factors were key factors in planning and preparedness for retirement: those in the most advantageous SEP were those who felt most prepared for retirement. • Those with a high sense of control over their retirement decision were more likely to be engaged in retirement planning. • Those who felt

2018 The Centre for Ageing Better

209. Service models for children under 10 with problematic sexual behaviours

of a similar age and stage of development. 13 Through their experiences, interactions and cultural environment, children construct knowledge about gender, sex and sexuality. 1 As children get older, their sexual displays decline. 2 However, in line with the beginning of their physiological sexual development between the ages of six and 10 years (which involves changes to the reproductive organs, ovaries, uterus, vulva, penis, scrotum and testes), children continue exploring their sexuality and may engage (...) control study; two or more single-arm studies; interrupted time series without a parallel control group) • Level IV: Case series with either post-test only, or pre-test/post-test outcomes. To facilitate the NHMRC evidence grading, and to provide additional commentary on the methodological quality of the evidence base, the reviewers incorporated quality assessment items into the data extraction templates used for eligible studies. Included studies Eight articles met criteria for inclusion

2018 Sax Institute Evidence Check

210. Statins for the primary prevention of cardiovascular events

, the Scandinavian Simvastatin Survival Study (the 4-S study), were reported. 13 Researchers tested simvastatin, sold by Merck as Zocor, on 4444 patients with high cholesterol and existing heart disease. After five years, the study concluded the patients saw a 35% reduction in their cholesterol, and their risks of dying from a myocardial infarction were reduced by 42%. At that moment several other pharmaceutical companies were developing similar products. Because of the high price, reimbursement of statins (...) the sample proportion is known (1/40 among subjects younger than 65 and 1/20 among subjects aged 65 years and older), this permits to extrapolate the data to the Belgian population. This extrapolation was realized thanks to the SAS survey procedure. To check the validity of this extrapolation we test the concordance of the extrapolated data with the official data published by RIZIV – INAMI. Concordance of the extrapolated data with RIZIV – INAMI data The exact number of users and the number of DDD’s

2019 Belgian Health Care Knowledge Centre

211. Management of Cardiovascular Diseases during Pregnancy Full Text available with Trip Pro

and offspring complications 3174 3.3.3 Pregnancy heart team 3176 3.4 Cardiovascular diagnosis in pregnancy 3176 3.4.1 Electrocardiography 3176 3.4.2 Echocardiography 3176 3.4.3 Exercise testing 3177 3.4.4 Ionizing radiation exposure 3177 3.4.5 Chest radiography and computed tomography 3177 3.4.6 Cardiac catheterization 3177 3.4.7 Magnetic resonance imaging 3177 3.5 Genetic testing and counselling 3177 3.5.1 Pre-natal diagnosis 3178 3.6 Foetal assessment 3178 3.6.1 Screening for congenital heart disease 3178 (...) Ventricular tachycardia 3203 9.7 Bradyarrhythmias 3204 9.7.1 Sinus node dysfunction 3204 9.7.2 Atrioventricular block 3204 9.8 Interventions 3204 9.8.1 Electrical cardioversion 3204 9.8.2 Catheter ablation 3204 9.8.3 Implantable cardioverter-defibrillator and pacing 3204 9.9 Recommendations 3206 10. Hypertensive disorders 3207 10.1 Diagnosis and risk assessment 3207 10.1.1 Blood pressure measurement 3207 10.1.2 Laboratory tests 3207 10.2 Definition and classification of hypertension in pregnancy 3207 10.3

2018 European Society of Cardiology

212. Fibromyalgia

no exercise or another intervention. Major outcomes were health-related quality of life (HRQL), pain intensity, stiffness, fatigue, physical function, withdrawals, and adverse 2017 6. Is cognitive behavioral therapy (CBT) an effective treatment for fibromyalgia ? Is cognitive behavioral therapy (CBT) an effective treatment for fibromyalgia ? Toggle navigation Shared more. Cited more. Safe forever. Toggle navigation View Item JavaScript is disabled for your browser. Some features of this site may not work (...) : Fibromyalgia is a debilitating chronic disease characterized by musculoskeletal pain, fatigue, and compromises (...) in cognition. One of the biggest challenges surrounding fibromyalgia is proper diagnosis, as there is no current diagnostic test established. Most practitioners utilize examining tender points and other subjective self-assessments to aid in the assessment of the condition. Current therapies include both medication and non-pharmacologic such as chiropractic therapy, acupuncture, aerobic

2018 Trip Latest and Greatest

213. Trazodone

of the circadian clock contributes to cognitive decline. Rhythmicity is severely impaired in Alzheimer disease (AD) and few (...) therapeutic attempts succeeded in improving sleep disorders in such context. This study evaluated sleep parameters by actigraphy in 30 AD patients before and after trazodone use for 2 weeks, and we show a significant improvement in relative rhythm amplitude (RRA), compatible with a more stable daytime behavioral pattern. So, trazodone appears to produce a stabilization (...) is prescribed widely as a sleep aid, although it is indicated for depression, not insomnia. Its daytime cognitive and psychomotor effects have not been investigated (...) systematically in insomniacs. The primary goal of this study was to quantify, in primary insomniacs, the hypnotic efficacy of trazodone and subsequent daytime impairments. Sixteen primary insomniacs (mean age 44 years) participated, with insomnia confirmed by overnight polysomnography (sleep efficiency ≤ 85%). Trazodone 50 mg

2018 Trip Latest and Greatest

214. International evidence-based guideline for the assessment and management of polycystic ovary syndrome (PCOS)

One Screening, diagnostic assessment, risk assessment and life-stage 35 1.1 Irregular cycles and ovulatory dysfunction 36 1.2 Biochemical hyperandrogenism 38 1.3 Clinical hyperandrogenism 40 1.4 Ultrasound and polycystic ovarian morphology 42 1.5 Anti-Müllerian Hormone (AMH) 45 1.6 Ethnic variation 46 1.7 Menopause life-stage 47 1.8 Cardiovascular disease 48 1.9 Gestational diabetes, impaired glucose tolerance and type 2 diabetes 50 1.10 Obstructive sleep apnea 53 1.11 Endometrial cancer 55 (...) pharmacological agents 97 4.7 Inositol 99 Chapter Five Assessment and treatment of infertility 100 5.1a Assessment of factors that may affect fertility, treatment response or pregnancy outcomes 101 5.1b Tubal patency testing 103 5.2 Ovulation induction principles 104 5.3 Letrozole 105 5.4 Clomiphene citrate and/or metformin 107 5.5 Gonadotrophins 110 5.6 Anti-obesity agents 112 5.7 Laparoscopic ovarian surgery 113 5.8 Bariatric surgery 115 5.9a In-vitro fertilisation 117 5.9b Gonadotropin releasing hormone

2018 European Society of Human Reproduction and Embryology

215. Tools to aid the clinical identification of end of life

carried out in elderly patients in a geriatric acute ward. The CGA included clinical, cognitive, functional, nutritional and social parameters and was carried out using six standardised scales and information on medications and social support network, for a total of 63 items in eight domains. The development cohort included 838 and the validation cohort 857 elderly hospitalised patients. Crude mortality rate after a six-week follow-up was 10.6% (n=135). Prognostic factors identified were: malnutrition (...) predictors are included in the tool. Surprise question Other clinical subjective judgement Age Functional status Weight loss Frailty Clinical measures Emergency department presentations Hospital admissions Specific diseases present Specific conditions to which the tool applies. Dementia/cognitive impairment Deterioration Patient choice Other Evidence regarding clinical application Any evidence or description of how the tool has been applied in practice. TOOLS TO AID CLINICAL IDENTIFICATION OF END OF LIFE

2018 Sax Institute Evidence Check

216. Specialist dementia care units

Library, Dementia and Cognitive Improvement Group (DCIG) library, ALOIS: DCIG Study Register associated with Cochrane Library, Medline, CINAHL and PsycINFO. Details of the search terms and limiters used are included in Appendix A. Articles excluded during the title and abstract cull included the following: • Drug trials • Prevalence studies • Biological studies • Community-based studies • Mild dementia/cognitive impairment studies • Studies of general nursing home settings/populations • Incorrect (...) by searching the web using terms included in the academic literature search. Search engines used included google.com, google.com.au and bing.com. The first 10 pages of each search were scanned and relevant articles identified by the brief summary. This provided 34 documents to review initially. Through a snowball search starting with these documents we then identified another 45 documents. An expert participant provided six extra items. The Department of Health forwarded an additional 46 grey literature

2018 Sax Institute Evidence Check

217. Dietary patterns and cardiovascular disease outcomes

) and recommendations, graded A–D, were established. For dietary patterns and primary prevention of CVD, four dietary patterns were investigated with six recommendations generated. The DASH, Dietary Approaches to Stop Hypertension, pattern received two Grade A recommendations for the primary prevention of CVD in relation to reductions in blood pressure and reduced risk of CVD events and/or mortality. Healthy/prudent diet was awarded a Grade B recommendation for reduction in risk associated with CVD events (...) ) were generated with three dietary patterns graded as Grade B (DASH, Vegetarian and Low-fat diet), five dietary patterns were rated as Grade C (Low GI/GL, Low carbohydrate, Mediterranean, High protein and Nordic/Tibetan diets). And one dietary pattern of Calorie-restricted diets was rated as Grade D. Overall, six dietary patterns were informed based on a single review. For seven dietary patterns (Low GI/GL, Low-fat diet, Low carbohydrate, Vegetarian diet, High protein, Calorie-restricted and Nordic

2018 Sax Institute Evidence Check

218. Recommendations for the Delivery of Psychosocial Oncology Services in Ontario

emotional, psychological, cognitive and/ or spiritual distress have access to psychiatrists, social workers, psychologists, and/or spiritual care providers. 3.3 Patients experiencing physical, functional, rehabilitative, and/ or nutritional concerns have access to occupational therapists, physiotherapists, registered dietitians and/or speech language pathologists. 3.4 Regional Cancer Programs ensure continuity of care for all patients, regardless of where they receive their cancer treatment. 3.5 (...) population (10-13) . Their families and caregivers may also be affected by the disease, experiencing emotional and psychological distress, shifting roles, increasing responsibilities, financial burden and caregiver stress (14) (See Table 1 for a summary of patients’ and families’ psychosocial concerns). Category Concern Cognitive • Brain fog • Delirium • Preexisting and worsening cognitive issues (e.g., due to dementia, brain tumours • Capacity (consent to treatment and medical assistance in dying

2018 Cancer Care Ontario

219. Identifying Performance Measures, Indicators and Targets to Monitor and Evaluate Dementia Strategies

measures Indicators Targets Cuba (2103) (23) • Performance measures for the strategy (referred to as objectives in the strategy) include: 1) improve care for dementia patients and their families; 2) prevent cognitive impairment and dementia; 3) detect cognitive impairment early; 4) reduce stigma around dementia; 5) increase professional development; 6) train families in patient care; 7) promote basic, clinical and epidemiological research on dementia; and 8) familiarize health teams with laws (...) protecting the rights of older adults and people with cognitive impairment. • Indicators were divided by input (structure), process and outcomes indicators. 1) Input (structure) o existence of municipal memory clinic; o existence of a memory clinic in every polyclinic; o easy access to memory clinics and removal of architectural barriers in health centres; o existence of school for caregivers in each health area served by a polyclinic; o existence of senior centres for patients with mental incapacity

2018 McMaster Health Forum

220. Multimorbidity: a priority for global health research

complexes such as frailty or chronic pain. • Sensory impairment such as sight or hearing loss. • Alcohol and substance misuse.2.2 Challenges arising from a lack of consensus regarding definition It was clear from our evidence gathering that the diversity of terminology, multiplicity of definitions, and the inconsistency in how these terms and definitions are used, makes the scientific literature about multimorbidity difficult to navigate and assimilate. Inconsistent approaches to the definition

2018 Academy of Medical Sciences

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