Editorial: The Dementias

C. Rowland
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Abstract

done with no worsening of symptoms. Alberto Marcos and colleagues present a Spanish study of neuropsychological markers of mild cognitive impairment progressing to Alzheimer’s disease. They find that the CAMCOG and memory and perception cognitive screening were the optimum screening tools to discover which patients will go on to acquire Alzheimer’s disease and which will not. This is important because early treatment is so crucial. Nagararatnam et al point out that 38% of patients in their study had accusatory behavior (average age of 74 years, and a male to female ratio of 2.6:1). This behavior is more prevalent in higher stages of dementia and is more often accompanied by hallucinations. They feel it would be more useful to view these behaviors as symptoms rather than as being primary. Sato and colleagues find that advanced glycation end products (AGE) are an important factor in diabetes and neurodegenerative diseases such as Alzheimer’s disease. They discuss the molecular mechanisms of Alzheimer’s disease and especially the toxic AGE-receptor AGE system.
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社论:痴呆症
没有症状恶化阿尔贝托·马科斯和他的同事介绍了一项西班牙研究,研究轻度认知障碍进展为阿尔茨海默病的神经心理学标志。他们发现CAMCOG和记忆和知觉认知筛查是发现哪些病人会继续患上阿尔茨海默病哪些不会的最佳筛查工具。这一点很重要,因为早期治疗至关重要。Nagararatnam等人指出,在他们的研究中,38%的患者有指责行为(平均年龄74岁,男女比例为2.6:1)。这种行为在老年痴呆症的较高阶段更为普遍,而且更常伴有幻觉。他们认为,将这些行为视为症状而不是主要行为会更有用。佐藤及其同事发现,晚期糖基化终产物(AGE)是糖尿病和阿尔茨海默病等神经退行性疾病的重要因素。他们讨论了阿尔茨海默病的分子机制,特别是有毒的年龄受体年龄系统。
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