"iDoctor – Medical Blog"

Acta Botanica Mexicana 94: 27-59 (2011) La sect. Lonchocarpus del género Lonchocarpus (Leguminosae, Papilionoideae, Millettieae): nuevas especies y subespecie para México y Mesoamérica Mario Sousa S. Universidad Nacional Autónoma de México, Instituto de Biología, Apdo. postal 70-367, 04510 México, D.F., México. sousa@servidor.unam.mx…

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Acta Botanica Mexicana 94: 1-25 (2011) LA FAMILIA BURSERACEAE EN EL ESTADO DE AGUASCALIENTES, MÉXICO Margarita Elia de la Cerda-Lemus Universidad Autónoma de Aguascalientes, Centro de Ciencias Básicas, Departamento de Biología, Avenida Universidad 940, Ciudad Universitaria, 20100 Aguascalientes, Aguascalientes, México. RESUMEN Se…

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Acta Botanica Mexicana 94: 61-89 (2011) CONTRIBUCIÓN DEL ESTADO DE ZACATECAS (MÉXICO) A LA CONSERVACIÓN DE LA RIQUEZA FLORÍSTICA DEL DESIERTO CHIHUAHUENSE José de Jesús Balleza1 y José Luis Villaseñor2 1Universidad Autónoma de Zacatecas, Unidad Académica de Agronomía, km 15.5 carretera Zacatecas-Guadalajara, 98171 Zacatecas,…

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Acta Botanica Mexicana 94: 91-123 (2011) pisos de vegetación de la Sierra de Catorce y territorios circundantes (San Luis Potosí, México) Joaquín Giménez de Azcárate1, Onésimo González Costilla2 1Universidad de Santiago de Compostela, Departamento de Botánica, Escuela Politécnica Superior, E-27002 Lugo, España….

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Acta Botanica Mexicana 94: 125-140 (2011) Peridinium quinquecorne var. trispiniferum var. nov. (Dinophyceae) from a brackish environment José Antolín Aké-Castillo1 and Gabriela Vázquez2 1Universidad Veracruzana, Instituto de Ciencia Marinas y Pesquerías. Calle Hidalgo 617, Colonia Río Jamapa, 94290 Boca del Río, Veracruz, México….

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Chiunque decida di iscriversi per la prima volta in un club si trova di fronte a un mondo ampio e variegato di offerte che vantano servizi, prove, sconti e corsi di ogni tipo. Accade sovente che il potenziale cliente, seppure armato di buona volontà per compiere questo grande passo, rimanga quindi disorientato, perso in un mondo sconosciuto e complesso, dove spesso è difficile saper scegliere con cognizione di causa.

Alzheimer’s disease (AD) patients treated with rivastigmine transdermal patch have shown statistically significant differences versus placebo on the AD Assessment scale-cognitive subscale (ADAS-cog). In this retrospective analysis of a double-blind, placebo- and active-controlled, 24-week clinical trial, the specific effects of rivastigmine patch on individual ADAS-cog items and cognitive domains (memory, language, and praxis) were explored. The mean baseline to week 24 changes were calculated for each ADAS-cog item and domain in this exploratory, hypothesis-generating analysis. Patients on 9.5 mg/24 h rivastigmine patch, 17.4 mg/24 h rivastigmine patch, and 3 to 12 mg/d rivastigmine capsules showed improvements over placebo on the memory and praxis ADAS-cog subscales. The rivastigmine patch groups also showed improvements on the language subscale. Significant differences versus placebo were seen on several individual item scores in the rivastigmine-treated groups. Rivastigmine patch was associated with improvements on the memory, praxis, and language domains of cognition in patients with mild-to-moderate AD.

Objectives: The aim was to explore the experiences of a caregiver of a patient with early onset dementia (EOD) and the needs of patient and caregiver. Methods: A single case study design was used to explore (1) unmet needs of patient and caregiver and (2) caregiver’s experiences of transitions in care and health care services. A qualitative analysis was used to examine the data. Results: This study shows that a patient with EOD and the caregiver were confronted with specific issues during the care process, namely (1) prolonged time to diagnosis, (2) a lack of fit between needs and services, (3) the strain of dedication to care versus the caregiver’s own future perspective, (4) the need for response of health care services to changing individual preferences. Conclusion: This study illustrates specific issues related to early onset dementia that require specialized EOD care such as the differential and changing needs of patients and caregivers.

‘‘Live’’ singing to persons with dementia (PWDs) may be an underused but highly accessible resource for their caregivers, regardless of qualifications. A systematic literature review sought to illuminate who sings to PWDs, and with what objectives and effects, to address the question of whether it is the singer or the singing which is effective. The literature revealed that music therapists seek to address cognitive, behavioral, physiological, and social factors through one-to-one singing, whereas other caregivers are more broadly concerned with quality of life, often through facilitating activities of daily living. All included studies concurred that individual singing to PWDs can be effective in a variety of ways, depending on contexts and goals. PWD’s perceptions of situations may influence the effectiveness of singing interventions. Music therapists are urged to empower professional caregivers to sing sensitively to PWDs during caregiving activities.