Monday, April 25, 2011

Alzheimer's Blogging:

Dear Readers,


The statistics regarding people who are never diagnosed with Alzheimer's disease are staggering. Although diagnosis of Alzheimer's disease is reliable and valid, as many as half of individuals meeting specific diagnostic criteria for dementia never receive a diagnosis -- and some evidence suggests it could be as high as 80 percent. A formal and documented diagnosis opens access to valuable support and services.

Recently, the Health Outcomes, Planning, and Education (HOPE) for Alzheimer's Act (S. 738/H.R.1386) was reintroduced in the 112th Congress. Passage of this bipartisan legislation would improve care and outcomes for people with Alzheimer's disease by improving diagnosis, care planning, and medical record documentation.

The HOPE for Alzheimer's Act will improve the following:

•Diagnosis - Improve access to accurate clinical diagnosis of Alzheimer's disease and dementia.

•Care Planning – Provide care planning services for individuals and caregivers in the physician's office, which includes information about additional medical and community based services.

•Medical Record Documentation - Ensure documentation of a diagnosis in the person's primary medical record -- enabling health care providers to anticipate and prevent potential complications in the management of other conditions (such as heart disease and diabetes) and allowing for care coordination among treating physicians.

Please ask your Members of Congress to cosponsor the HOPE for Alzheimer's Act and let them know how important diagnosis, care planning, and support services are for American families facing Alzheimer's.

Help us make a difference by sending a message today.

Capitol Hill is the toughest hill to climb, but we can do it with your support. Let's shift Congress into gear.

Robert Egge

VP of Public Policy

Alzheimer's Association

P.S.: Want to do a little more? Light a candle for our virtual rally by go to www.alz.org/virtualrally to learn more about how you can make a difference.

Sincerely,
Marie Fostino
Alzheimer's A Caretakers Journal
Seaboard Press An Imprint of James A Rock Pub., Co.
http://www.mariefostno.com/
http://www.mariefostino.blogspot.com/ 

Sunday, April 24, 2011

ALZHEIMER'S BLOGGING:

New Guidelines to detect MCI, Alzheizmer's & Dementia
For the first time in 27 years, new guidelines have been published for the diagnosis of the most common type of dementia: Alzheimer’s. The initial diagnostic criteria for the disease were published by the Alzheimer’s Association and the National Institute of Neurological and Communicative Disorders and Stroke in 1984. The new criteria and guidelines are the result of work that began two years ago, when three expert workgroups consisting of a total of more than 40 Alzheimer’s researchers and clinicians from around the globe began the in-depth process of reviewing the original criteria and deciding how they might be improved by incorporating research advances from the last three decades. Formation of the workgroups was spearheaded by the Alzheimer’s Association and the National Institute on Aging (NIA) of the National Institutes of Health.

To continue reading this article and to watch the video please hit this link: http://alzheimersweekly.com/content/new-guidelines-detect-mci-alzheimer-s-dementia  

This article tells how the criteria are different along with the new guidelines. There is consensus that treating the disease before symptoms occur is what this new goal is about.

Happy Easter :)
Sincerely,
Marie Fostino
Alzheimer's A Caretakers Journal
Seaboard Press An Imprint of James A Rock Pub., Co.
http://www.mariefostino.com/
http://www.mariefostino.blogspot.com/

Saturday, April 23, 2011

Alzheimer's Blog:

Taking care of a loved one with this disease is devastating. Do you ever question yourself about the decisions you make or how you talk to someone whether with a nice tone or not.  I remember getting angry with Grandpa Joe, and I would not want to talk to him. It wouldn't take long before the guilt would control me and make me remember that he does not know what he is doing. I would have to remind myself, it is not his fault.

Yet there were times I think I would see in his eyes, that he was lying to me, or he would be sneaking around quietly trying to get into something that I put off limits.  It is so hard to know if at times he was being deceitful or just didn't know.

One day at the day care that I dropped him off at, my concerns came into reality. One day Grandpa Joe talked the owners husband into opening the outside door a little bit saying he couldn't breath and needed some air. As soon as the door opened a crack, Dad took off. Yes this time Dad did know what he was doing.

It was a bit of relief to know that someone else could confirm that sometimes Dad would lie and be sneaky. That still doesn't help me always know the difference but it made me aware that I didn't have to be so hard on myself.

Please remember that you are only human, and you will make mistakes. But also remember that you love the person that you are taking care of and you would never intentionally try and hurt them. You are only looking out for them and their safely.

Sincerely,
Marie Fostino
Alzheimer's A Caretakers Journal
Seaboard Press An Imprint of James A Rock Pub., Co.
http://www.mariefostino.com/
http://www.mariefostino.blogspot.com/

Thursday, April 21, 2011

Alzheimer's Blogging:

SEATTLE, Wash. — The Allen Institute for Brain Science has released the world’s first anatomically and genomically comprehensive human brain map, a previously unthinkable feat made possible through leading-edge technology and more than four years of rigorous studies and documentation. The unprecedented mappings are the foundation for the Allen Human Brain Atlas, an online public resource developed to advance the Institute’s goal to accelerate understanding of how the human brain works and fuel new discovery among the global research community.

In developing the Allen Human Brain Atlas, the Allen Institute has now thoroughly characterized and mapped the biochemistry of two normal adult human brains, providing opportunities for scientists to study the brain with new detail and accuracy. The data reveal a striking 94 percent similarity between human brains, establishing strong patterns as a critical foundation for translational and clinical research. In addition, data analysis from the two human brains indicate that at least 82 percent of all human genes are expressed in the brain, highlighting its tremendous complexity while also providing an essential genetic blueprint to understand brain functionality better and propel research in neurologic disease and other brain disorders.

“Until now, a definitive map of the human brain, at this level of detail, simply hasn’t existed,” said Allan Jones, Ph.D., Chief Executive Officer of the Allen Institute for Brain Science. “The Allen Human Brain Atlas provides never-before-seen views into our most complex and most important organ. Understanding how our genes are used in our brains will help scientists and the medical community better understand and discover new treatments for the full spectrum of brain diseases and disorders, from mental illness and drug addiction, to Alzheimer’s and Parkinson’s diseases, multiple sclerosis, autism and more.”

Similar to a high-powered, multi-functional GPS navigation system, the Allen Human Brain Atlas identifies

1,000 anatomical sites in the human brain, backed by more than 100 million data points that indicate the particular gene expression and underlying biochemistry of each site. Scientists can use the Allen Human Brain Atlas to explore the human brain and identify how disease and trauma, including physical brain injuries and mental health disorders, affect specific areas of the brain. This powerful resource makes it possible to pinpoint where a particular drug acts anatomically in the brain, to ultimately better control the successful outcome of numerous therapies.

“The Allen Institute is a powerful force in modern science,” said Dr. Edward Jones, neuroscientist at the University of California, Davis. “They’ve applied an industrialized approach and high-output technology to accomplish what no other lab has ever done. The original data produced for the mouse brain revolutionized neuroscience and now the Allen Human Brain Atlas delivers extremely rare and essential information that most researchers could not otherwise access. They are truly paving the way for the future of research.”

Previously, as its inaugural initiative, the Allen Institute for Brain Science completed mappings of the adult mouse brain in 2006, similarly making the data available free to scientists. Overall, those data have led to a number of significant research advances around the world, including the publishing of over 500 peer-reviewed papers citing the Allen Mouse Brain Atlas to support research conclusions.

To watch the video please log onto http://alzheimersweekly.com/content/55000000-brain-atlas-offers-new-clues

Sincerely,
Marie Fostino
Alzheimer's A Caretakers Journal
Seaboard Press An Imprint of James A Rock Pub., Co.
http://www.mariefostino.com/
http://www.mariefostino.blogspot.com/

Wednesday, April 20, 2011

ALZHEIMER'S BLOGGING:

ABDOMINAL OBESITY AND ALZHEIMER'S


ST. PAUL, Minn. – People with larger stomachs in their 40s are more likely to have dementia when they reach their 70s, according to a study published in the March 26, 2008, online issue of Neurology®, the medical journal of the American Academy of Neurology.

The study involved 6,583 people age 40 to 45 in northern California who had their abdominal fat measured. An average of 36 years later, 16 percent of the participants had been diagnosed with dementia. The study found that those with the highest amount of abdominal fat were nearly three times more likely to develop dementia than those with the lowest amount of abdominal fat.

“Considering that 50 percent of adults in this country have an unhealthy amount of abdominal fat, this is a disturbing finding,” said study author Rachel A. Whitmer, PhD, a Research Scientist of the Kaiser Permanente Division of Research in Oakland, CA, and member of the American Academy of Neurology. “Research needs to be done to determine what the mechanisms are that link abdominal obesity and dementia.”

Having a large abdomen increased the risk of dementia regardless of whether the participants were of normal weight overall, overweight, or obese, and regardless of existing health conditions, including diabetes, stroke and cardiovascular disease.

Those who were overweight and had a large belly were 2.3 times more likely to develop dementia than people with a normal weight and belly size. People who were both obese and had a large belly were 3.6 times more likely to develop dementia than those of normal weight and belly size. Those who were overweight or obese but did not have a large abdomen had an 80-percent increased risk of dementia.

A large belly in mid-life has also been shown to increase the risk of diabetes, stroke, and coronary heart disease, but this is the first time researchers have demonstrated that it also increases risk of dementia.

In the study, women were more likely than men to have abdominal obesity, along with non-whites, smokers, people with high blood pressure, high cholesterol or diabetes, and those with less than a high school level of education.

As with all observational studies, it is possible that the association of the abdominal obesity and dementia is not driven by the abdominal obesity, but rather by a complex set of health-related behaviors, for which abdominal obesity is but one part.

“Autopsies have shown that changes in the brain associated with Alzheimer’s disease may start in young to middle adulthood, and another study showed that high abdominal fat in elderly adults was tied to greater brain atrophy,” Whitmer said. “These findings imply that the dangerous effects of abdominal obesity on the brain may start long before the signs of dementia appear.”

Check this article out and more on Alzheimer's Weekly at http://alzheimersweekly.com/content/larger-belly-mid-life-increases-risk

Sincerely,
Marie Fostino
Alzheimer's A Caretakers Journal
Seaboard Press An Imprint of James A Rock Pub., Co.
http://www.mariefostino.com/
http://www.mariefostino.blogspot.com/

Monday, April 18, 2011

ALZHEIMER'S BLOG:

CHICAGO - Memantine goes by the brand names Namenda® or Ebixa®. An analysis of studies involving the drug memantine finds a lack of evidence for benefit when the drug is used to treat patients with mild Alzheimer disease and mild cognitive impairment. This is according to a report posted online today that will appear in the August print issue of Archives of Neurology, one of the JAMA/Archives journals.

"Memantine, indicated for moderate to severe Alzheimer disease (AD), is frequently prescribed off-label [for uses other than those approved by the FDA] either alone or with a cholinesterase inhibitor for mild AD and mild cognitive impairment," the authors write as background information in the article. Cholinesterase inhibitors are drugs like Aricept®, Exelon® and Razadyne®. They increase levels of a brain chemical called acetylcholine. Increasing acetylcholine levels appears to slow mental decline in people with AD.

Lon S. Schneider, M.D., M.S., of the University of Southern California Keck School of Medicine, Los Angeles, and colleagues systematically searched manufacturer-sponsored meta-analyses, registries, presentations, and publications for randomized, placebo-controlled, parallel-group clinical trials of memantine in patients with mild to moderate AD. Three trials were identified that included 431 patients with mild AD and 697 patients with moderate AD. Using several different scales, the researchers assessed cognition, global change, functional activities, and behavior.

"There were no significant differences between memantine and placebo on any outcome for patients with mild AD, either within any trial or when data were combined," the authors report.

Among patients with moderate AD, there was no significant difference between memantine and placebo in any individual trial, although there was a significant effect when the three trials were statistically combined.

"Despite its frequent off-label use, evidence is lacking for a benefit of memantine in mild AD, and there is meager evidence for its efficacy in moderate AD," the authors conclude. "Prospective trials are needed to further assess the potential for efficacy of memantine either alone or added to cholinesterase inhibitors in mild and moderate AD."

Read this and more of Alzheimer's Weekly Magazine: http://alzheimersweekly.com/content/namenda-only-helps-middle-stages  

Sincerely,
Marie Fostino
Alzheimer's A Caretakers Journal
Seaboard Press An Imprint of James A Rock Pub., Co.
http://www.mariefostino.com/
http://www.mariefostino.blogspot.com/

Saturday, April 16, 2011

ALZHEIMER'S BLOG:

Alzheimer’s Medications

Health professionals often divide the symptoms of Alzheimer’s disease into “Cognitive” and “Behavioral and Psychiatric” categories.

Cognitive systems affect memory, language, judgment, planning, ability to pay attention and other thought processes.

Behavioral and psychiatric systems affect the way we feel and act.

DONEPEZIL (ARICEPT)- approved to treat all stages of Alzheimer’s disease. Side effects: nausea, vomit, loss of appetite and increased frequency of bowel movements.

RIVASTIGMINE (EXELON)- approved to treat mild to moderate Alzheimer’s disease. Side effects: nausea, vomit, loss of appetite and increased frequency of bowel movements.

GALANTAMINE (RAZADYNE)- approved to treat mild to moderate Alzheimer’s disease. Side effects: nausea, vomit, loss of appetite and increased frequency of bowel movements.

These drugs support communication among nerve cells by keeping acetylcholine levels high. On average delay worsening of symptoms for 6 to 12 months for about half the people who take them.


MEMANTINE- approved to treat moderate to severe Alzheimer’s disease. Side effects; headaches, constipation, confusion, and dizziness. This drug works by regulating the activity of glutamate, a different messenger chemical involved in learning and memory. It temporarily delays worsening of symptoms
for some people.

TACTINE (COGNEX)- was approved to treat mild to moderate Alzheimer’s disease, but now one of the least popular medications. Side effects; possible liver damage, nausea, vomit, and diarrhea.

I hope this helps:
Sincerely,
Marie Fostino
Alzheimer's A Caretakers Journal
Seaboard Press An Imprint of James A Rock Pub., Co.
http://www.mariefostino.com/
http://www.mariefostino.blogspot.com/