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  1. Article: A task force for diagnosis and treatment of people with Alzheimer's disease in Latin America.

    Lopera, Francisco / Custodio, Nilton / Rico-Restrepo, Mariana / Allegri, Ricardo F / Barrientos, José Domingo / Garcia Batres, Estuardo / Calandri, Ismael L / Calero Moscoso, Cristian / Caramelli, Paulo / Duran Quiroz, Juan Carlos / Jansen, Angela Marie / Mimenza Alvarado, Alberto José / Nitrini, Ricardo / Parodi, Jose F / Ramos, Claudia / Slachevsky, Andrea / Brucki, Sonia María Dozzi

    Frontiers in neurology

    2023  Volume 14, Page(s) 1198869

    Abstract: Alzheimer's disease (AD) represents a substantial burden to patients, their caregivers, health systems, and society in Latin America and the Caribbean (LAC). This impact is exacerbated by limited access to diagnosis, specialized care, and therapies for ... ...

    Abstract Alzheimer's disease (AD) represents a substantial burden to patients, their caregivers, health systems, and society in Latin America and the Caribbean (LAC). This impact is exacerbated by limited access to diagnosis, specialized care, and therapies for AD within and among nations. The region has varied geographic, ethnic, cultural, and economic conditions, which create unique challenges to AD diagnosis and management. To address these issues, the Americas Health Foundation convened a panel of eight neurologists, geriatricians, and psychiatrists from Argentina, Brazil, Colombia, Ecuador, Guatemala, Mexico, and Peru who are experts in AD for a three-day virtual meeting to discuss best practices for AD diagnosis and treatment in LAC and create a manuscript offering recommendations to address identified barriers. In LAC, several barriers hamper diagnosing and treating people with dementia. These barriers include access to healthcare, fragmented healthcare systems, limited research funding, unstandardized diagnosis and treatment, genetic heterogeneity, and varying social determinants of health. Additional training for physicians and other healthcare workers at the primary care level, region-specific or adequately adapted cognitive tests, increased public healthcare insurance coverage of testing and treatment, and dedicated search strategies to detect populations with gene variants associated with AD are among the recommendations to improve the landscape of AD.
    Language English
    Publishing date 2023-07-11
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2564214-5
    ISSN 1664-2295
    ISSN 1664-2295
    DOI 10.3389/fneur.2023.1198869
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Interfase neurología-psiquiatría en pacientes hospitalizados por patologías del sistema nervioso central.

    Ramírez-Bermúdez, Jesús / Aguilar-Venegas, Luis Carlos / Calero-Moscoso, Cristian / Ramírez-Abascal, Marisol / Nente-Chávez, Francisco / Flores-Reynoso, Samantha / Dolores-Velasco, Fabián / Ramos-Tisnado, Rogelio

    Gaceta medica de Mexico

    2010  Volume 146, Issue 2, Page(s) 108–111

    Abstract: Objective: Brain pathologies are frequent sources of mental and behavioral disorders. In order to analyze the boundary between neurology and psychiatry, we analyzed all neuropsychiatric consultations seen at the inpatient Neurology, Neurosurgery, ... ...

    Title translation Neurology-psychiatry interface in central nervous system diseases.
    Abstract Objective: Brain pathologies are frequent sources of mental and behavioral disorders. In order to analyze the boundary between neurology and psychiatry, we analyzed all neuropsychiatric consultations seen at the inpatient Neurology, Neurosurgery, Critical Medicine and Neurological Emergencies clinics of the National Institute of Neurology and Neurosurgery of Mexico between 2007 and 2009.
    Results: A total of 506 neuropsychiatric visits were included, patient mean age was 44.2 years (SD 17 years) 240 patients were female (47.4%). The main neurological disorders for which patients sought medical care at the neuropsychiatry service, were: brain tumors (14.2%), viral encephalitis (8.7%), ischaemic cerebrovascular disorders (7.1%), epilepsy (6.5%) and haemorragic cerebrovascular disorders (4.7%). The most common DSM-IV psychiatric diagnoses included: delirium (38.5%), depressive disorders (15%), dementia (7.7%), cognitive decline, without fulfilling criteria for dementia (6.5%), and anxiety disorders (6.9%). Delirium was the most common neuropsychiatric condition among the etiological groups. Catatonic syndrome was more frequent among patients with brain infections (p < 0.001), and pathological laughter and crying were more frequent among atients with cerebrovascular disorders (p = 0.012).
    Conclusions: Our study highlights the clinical relevance of delirium, depression, anxiety, dementia, frontal syndromes and catatonia among neurologic and neurosurgical in-patients attending a tertiary care reference center in Mexico.
    MeSH term(s) Adult ; Central Nervous System Diseases/diagnosis ; Central Nervous System Diseases/epidemiology ; Cross-Sectional Studies ; Female ; Humans ; Interdisciplinary Communication ; Male ; Neurology ; Prospective Studies ; Psychiatry
    Language Spanish
    Publishing date 2010-03
    Publishing country Mexico
    Document type English Abstract ; Journal Article
    ZDB-ID 425456-9
    ISSN 0016-3813
    ISSN 0016-3813
    Database MEDical Literature Analysis and Retrieval System OnLINE

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