Summary
The Facing Dementia Survey was undertaken to assess the awareness of and behaviours surrounding Alzheimer's dis‐ease (AD) and dementia among all key stakeholders in Europe. Interviews were conducted with more than 2500 persons, including caregivers, members of the general population, physicians, persons with AD and influencers of health care policy. Four key messages emerged from the results. First, AD often remains undiagnosed until symptoms become moderate or severe. This delay may be because of the difficulty of recognising the symptoms of early AD and the attribution of symptoms to so‐called normal ageing, the fear of AD common among older people, inadequate screening tools for use by physicians and/or a delay in the confirmation of the diagnosis once suspicion is raised. Second, a majority of respondents perceive their governments as indifferent to the economic, social and treatment burdens associated with AD. Third, a substantial majority of caregivers, physicians and the general population appreciate the wide‐ranging impact that AD can have on the quality of life of people who suffer from it and their informal caregivers. While most caregivers reported life‐changing negative effects, a few also noted some positive aspects to their experience. Finally, survey results revealed that most caregivers and members of the general public do not have sufficient information about the benefits of treatment and care. The findings of the Facing Dementia Survey support the development of an agenda for change in dementia care across Europe.
The patient screen and the informant version are short culture- and education-fair instruments. They reduce false positive rates, when used in combination in the community.
Relapse is a multi-factorial phenomenon and most likely to result from a combination of various factors. This study was conducted to determine factors associated with relapse of drinking in patients who underwent deaddiction treatment programme. Material and Methods: This is a retrospective cohort study was done in patients who were admitted for in-patient deaddiction care programme between September 2017 and February 2018. The in-patient charts of the subjects were retrieved from the medical records department. The SADQ score at admission, CIWA-Ar score and The Brief Substance Craving Score at the time of discharge were taken from the record. Results: A total of 70 patients were recruited and the mean age of participant was 41.27 ± 11.07 years. At the end of 1 year the mean total no. of lapses was 9.9 ± 12.67 in the study population and the mean total number of relapses was 0.84 ± 0.94. The mean duration of complete abstinence last 1 year (CDA) in days was 272.43 ± 109.12. The mean no. of readmissions for de-addiction last 1 year was 0.23 ± 0.57 in the study population. Univariate analysis shows age at first drink in years, total duration of drinking in months and use of disulfiram and graduation as educational status are associated with higher odds of relapse. However, multiple regression model showed no statistically significant association. Conclusion: The complete abstinence was seen only in 31.43% of the population
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