Diagnosis and Treatment of Senile Dementia by M. Bergener (auth.), Professor Dr. med. Manfred Bergener, PDF


By M. Bergener (auth.), Professor Dr. med. Manfred Bergener, Professor Barry Reisberg M. D. (eds.)

Senile dementia is among the significant illnesses confronting mankind during this century. to a point the matter has, in fact, continually existed. The used to be sufficiently troubling to classical philosophers and jurists to have it sounds as if provoked reviews by means of Solon in nearly 500 B. C. and Plato within the fourth century B. C. (Plutarch 1967 translation; Plato 1921 translation). clinical attractiveness might be traced not less than way back to the second one century A. D. (Adams 1861). besides the fact that, numerous components have converged during this century to increase absolutely the dimensions of the matter of senile dementia and to extend societal, scientific, and medical recogni­ tion of the value of the . might be an important issue when it comes to the current significance of senile dementia is demographic. even if the human inhabitants has been expanding because the mid-eighteenth century, it has purely been because the introduction of the 20 th century reduce in mortality has been famous for these over the age of forty five (McKeown 1976). therefore, absolutely the variety of elderly individuals and the share of more and more elderly people within the populations of the world's business countries were gradually expanding. for instance, within the usa, four% ofthe inhabitants used to be over the age of sixty five in 1900. within the 1970 census, this share had grown to 10%.

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Springer Publishing, New York, pp 77-83 Bergener M, Kranzhoff EU, Husser J (1986) Contributions to a multi-level model of intervention in psychogeriatrics. In: Bergener M, Ermini M, Stahelin HB (eds) Academic, London, pp 263-291 Future of Psychogeriatrics 13 Bergener M, Hesse C (1987) Research on Alzheimer's disease in German-speaking countries, Alzheimer Dis Assoc Disorders 1: 193-199 Bergener M, Kranzhoff EU (1989) Evaluating psychogeriatric treatment. Springer Publishing, New York Blessed G (1985) Measurement in psychogeriatrics.

History of prior head injury has been one ofthe few risk factors to appear significant with any consistency across case-control studies. Of six studies which examined for this factor between 1984 and 1987, the frequency of reported prior head injury (resulting in a loss of consciousness but with apparent full recovery of function) ranged from 5% to 26% in cases. 5, and although statistically significant in only three of the six studies, they reflected greater frequency of prior head injury among cases than controls in all six.

85 + Age Fig. 1. Prevalence of senile and vascular dementia by age and sex 26 K. Hasegawa, and Y. Imai Table 4. 4 Etiological Classification of Dementia. 4%, as shown Table 4. Senile dementia was much less frequently diagnosed than vascular dementia in all age groups except those of 80 years and over. Vascular dementia was predominant in males, but senile dementia was more frequent in females. Although the diagnosis of unclassified dementia might include senile dementia or vascular dementia, it was difficult to discriminate those types of dementia in the field survey.

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