ABSTRACT
Background and Objectives: We sought to obtain data about the prevalence of dementia in rural nursing homes in Germany. Methods: We conducted our data between 2007 and 2009 in the diocese of Passau, Germany. By using a questionnaire we asked all nursing homes in the area to provide information about patients with dementia. We obtained detailed data from three nursing homes by personal visits, telephone calls and mail. Results: Out of 72 nursing homes, 40 provided the requested data. The 40 facilities included in our study house a total of 3,928 residents, 1,892 of whom are diagnosed with dementia (48%). Three nursing homes provided us with more detailed information. Conclusions: We conclude that the prevalence of dementia in nursing homes in Germany is comparable to those rates reported in other countries. As there is a lack of information globally on rural populations affected by dementia, further international research in this area will give important insights into the risk factors, the variables influencing the course of the disease, and the special care needs of this population (AU)
Subject(s)
Humans , Alzheimer Disease/epidemiology , Dementia/epidemiology , Germany/epidemiology , Health Surveys , Cross-Sectional StudiesABSTRACT
Caso clínico. Paciente con epilepsia causada por una encefalitis límbica no relacionada con un proceso tumoral. Resultados. A lo largo de la evolución, y de forma subaguda, la paciente mostró crisis parciales y áreas variables de afectación de los lóbulos temporales, no simultáneas, que abocaron a una atrofia de las estructuras límbicas y áreas adyacentes y que dieron lugar a un estado de déficit neuropsicológico permanente, fundamentalmente en la memoria reciente verbal y visual. Tras 6 años de evolución, no se ha podido demostrar la coexistencia con un proceso neoplásico (AU)
Introduction. Unilateral isolated paralysis of the soft palate is a rare clinical entity. Case report. We describe the case of a 12-year-old girl who presented acute dysphagia, a nasal voice and regurgitation of liquids into the nose. Exploration revealed right velopalatine insufficiency with normal gag reflex and pharyngeal sensitivity. All the complementary studies, including magnetic resonance, lumbar puncture and viral serology tests, were normal. There are 28 similar cases in the literature, with the following characteristics: acute onset, appearing in infancy (96%), predominance in males (79%), recent respiratory infection (35%) and an excellent prognosis for recovery (85%). Conclusion. This is probably a case of acute cranial mononeuropathy with a viral aetiology (AU)
