The team, which included three senior health care practitioners from the Kent and Medway NHS and Social Care Partnership Trust, conducted a study that included a review of research evidence, a systematic clinically informed evaluation of the most commonly used screening measures, and a survey of measures employed in primary care in Kent.
Although the survey revealed that the Mini Mental State Examination (MMSE) was the most widely used measure in Kent – with as many as 51% of respondents using it as the only screening tool – the review concluded that three other less commonly used instruments are easier to administer, clinically acceptable, more effective, and less affected by patient education, gender, and ethnicity. These are: the General Practitioner Assessment of Cognition (GPCOG), the Memory Impairment Screen (MIS), and the Mini-Cognitive Assessment Instrument (Mini-Cog). That all three have psychometric properties similar to the MMSE is also important.
Of the GPs surveyed, many actually expressed concern about limited availability of measures other than MMSE, little access to training and advice on screening, and a lack of national guidance. One GP summarised the views of many by stating that ‘it would be very helpful if a standard screening tool could be recommended and made widely available . . . now!’
Dr Milne, a researcher in the field of gerontology, said: ‘Although the MMSE is widely used in the UK, this project identifies the GPCOG, MIS and Mini-Cog as clinically and psychometrically robust and more appropriate for routine use in primary care. The study highlights a need for primary care staff to be offered training and advice on dementia screening including the use of instruments. Early diagnosis is one of the key aims of the National Dementia Strategy; improving the quality and consistency of dementia screening is a distinctive and yet pivotal dimension of achieving this important policy goal.’
Dr Milne also moved to reassure patients and family members who may have concerns about the findings. ‘Anyone with concerns about their own, or their relatives, cognitive function or memory should consult their GP,’ she said. ‘Whatever the relative weaknesses of the MMSE are, it remains a safe and valid screening instrument. Further, it is likely to remain the instrument of choice for most GPs until national guidance is provided on dementia screening and early diagnosis taking account of evaluative clinically informed research of the type reported by us.’
‘Screening for dementia in primary care: a review of the use, efficacy and quality of measures’ by A. Milne (Tizard Centre), A. Culverwell (St Martin’s Hospital, Canterbury), R. Guss (Medway Maritime Hospital, Gillingham), J. Tuppen (The Beacon, Ramsgate) and R. Whelton (Tizard Centre) is published in the October issue, Vol. 20 (5), of International Psychogeriatrics, the official journal of the International Psychogeriatric Association.
Gary Hughes | alfa
A first look at interstitial fluid flow in the brain
05.07.2018 | American Institute of Physics
A sentinel to watch over ocular pressure
04.07.2018 | Fraunhofer Institute for Microelectronic Circuits and Systems
A new manufacturing technique uses a process similar to newspaper printing to form smoother and more flexible metals for making ultrafast electronic devices.
The low-cost process, developed by Purdue University researchers, combines tools already used in industry for manufacturing metals on a large scale, but uses...
For the first time ever, scientists have determined the cosmic origin of highest-energy neutrinos. A research group led by IceCube scientist Elisa Resconi, spokesperson of the Collaborative Research Center SFB1258 at the Technical University of Munich (TUM), provides an important piece of evidence that the particles detected by the IceCube neutrino telescope at the South Pole originate from a galaxy four billion light-years away from Earth.
To rule out other origins with certainty, the team led by neutrino physicist Elisa Resconi from the Technical University of Munich and multi-wavelength...
For the first time a team of researchers have discovered two different phases of magnetic skyrmions in a single material. Physicists of the Technical Universities of Munich and Dresden and the University of Cologne can now better study and understand the properties of these magnetic structures, which are important for both basic research and applications.
Whirlpools are an everyday experience in a bath tub: When the water is drained a circular vortex is formed. Typically, such whirls are rather stable. Similar...
Physicists working with Roland Wester at the University of Innsbruck have investigated if and how chemical reactions can be influenced by targeted vibrational excitation of the reactants. They were able to demonstrate that excitation with a laser beam does not affect the efficiency of a chemical exchange reaction and that the excited molecular group acts only as a spectator in the reaction.
A frequently used reaction in organic chemistry is nucleophilic substitution. It plays, for example, an important role in in the synthesis of new chemical...
Optical spectroscopy allows investigating the energy structure and dynamic properties of complex quantum systems. Researchers from the University of Würzburg present two new approaches of coherent two-dimensional spectroscopy.
"Put an excitation into the system and observe how it evolves." According to physicist Professor Tobias Brixner, this is the credo of optical spectroscopy....
13.07.2018 | Event News
12.07.2018 | Event News
03.07.2018 | Event News
20.07.2018 | Power and Electrical Engineering
20.07.2018 | Information Technology
20.07.2018 | Materials Sciences