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Copyright of Current Neurology / Aktualno?ci Neurologiczne is the property of Medical Communications Sp. z o.o. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Dementia is a devastating neurological disorder that affects millions of people globally, causing progressive decline in cognitive function and daily living activities. Early and precise detection of dementia is critical for optimal dementia therapy and management however, the diagnosis of dementia is often challenging due to the complexity of the disease and the wide range of symptoms that patients may exhibit. Machine learning approaches are becoming progressively more prevalent in the realm of image processing, particularly for disease prediction. These algorithms can learn to recognize distinctive characteristics and patterns that are suggestive of specific diseases by analyzing images from multiple medical imaging modalities. This paper aims to develop and optimize a decision tree algorithm for dementia detection using the OASIS dataset, which comprises a large collection of MRI images and associated clinical data. This approach involves using a genetic algorithm to optimize the decision tree model for maximum accuracy and effectiveness. The ultimate goal of the paper is to develop an effective, non-invasive diagnostic tool for early and accurate detection of dementia. The GA-based decision tree, as proposed, exhibits strong performance compared to alternative models, boasting an impressive accuracy rate of 96.67% according to experimental results.

Copyright of Journal of Psychiatry & Clinical Psychology / Psychiatria i Psychologia Kliniczna is the property of Medical Communications Sp. z o.o. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Paediatrics & Family Medicine / Pediatria i Medycyna Rodzinna is the property of Medical Communications Sp. z o.o. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

In contemporary German literature, particularly in the family novels that are key to the post-memory discourse of the past, there is a marked interest in the dysfunctions and deformations of memory associated with ageing processes. Demographic changes lead researchers to consider the determinants and the existing dominant themes and categories of interdisciplinary memory studies. Ulrike Draesner’s 2014 novel, Sieben Sprünge vom Rand der Welt, the subject of this paper, probes the meanders of memory and forgetting, examining their configurations in intergenerational relations. I am interested here in the threads that have been marginalized in the popular discourse on the flight and resettlement of millions of Germans from the eastern provinces of the Reich, which emerge along with the progressive dementia of one of the novel’s main characters. [ABSTRACT FROM AUTHOR]

Copyright of Current Neurology / Aktualno?ci Neurologiczne is the property of Medical Communications Sp. z o.o. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Current Neurology / Aktualno?ci Neurologiczne is the property of Medical Communications Sp. z o.o. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Paediatrics & Family Medicine / Pediatria i Medycyna Rodzinna is the property of Medical Communications Sp. z o.o. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Current Neurology / Aktualno?ci Neurologiczne is the property of Medical Communications Sp. z o.o. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Alzheimer's disease is the most common form of dementia and is a challenge for the modern world due to the due to aging populations. Researchers are trying their best to understand the mechanisms of onset and find effective ways to treat and prevent this disease. The purpose of the following paper is to present the impact of physical activity in the development of Alzheimer's disease. Numerous studies confirm that regular workouts have a positive reflection in the form of slowing the aging of the brain and alleviation of neuropsychiatric symptoms in affected individuals. During muscle work irisin is produced, which plays an important role in the formation of neurons and exhibits an anti-inflammatory effects. This review also looks at the aspect of maintaining proper composition of the gut microbiota, whose imbalance can promote the process of neuronal inflammation and cognitive dysfunction. Attention is also given to issues of training intensity and the effect of of exercise on blood flow in the brain. All of these elements play an important role in preventing and slowing down neurodegeneration.

Beck Oliwia, Łakomski Mateusz, Kędziora–Kornatowska Kornelia, Radzimińska Agnieszka, Weber-Rajek Magdalena, Żukow Walery. Otępienia jako choroby cywilizacyjne i społeczne XXI wieku = Dementia as a civilization and social diseases of the 21st century. Journal of Education, Health and Sport. 2016;6(6):677-694. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.101640 http://ojs.ukw.edu.pl/index.php/johs/article/view/3865 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 755 (23.12.2015). 755 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Author (s) 2016; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 25.05.2016. Revised 25.06.2016. Accepted: 28.06.2016. Otępienia jako choroby cywilizacyjne i społeczne XXI wieku Dementia as a civilization and social diseases of the 21st century Oliwia Beck1,2, Mateusz Łakomski2, Kornelia Kędziora–Kornatowska2, Agnieszka Radzimińska3, Magdalena-Weber-Rajek3, Walery Żukow4 1Katedra Zdrowia Publicznego, Wydział Nauk o Zdrowiu, Collegium Medicum im. Ludwika Rydygiera w Bydgoszczy UMK w Toruniu 2Katedra i Klinika Geriatrii, Wydział Nauk o Zdrowiu, Collegium Medicum im. Ludwika Rydygiera w Bydgoszczy UMK w Toruniu 3Katerda Fizjoterapii, Zakład Podstaw Fizjoterapii, Collegium Medicum im. Ludwika Rydygiera w Bydgoszczy UMK w Toruniu 4Uniwersytet Kazimierza Wielskiego, Bydgoszcz Streszczenie Starzenie się społeczeństw wpłynęło na zwiększenie zainteresowania zaburzeniami procesów poznawczych, dla których najważniejszym czynnikiem ryzyka jest wiek. Notowany wzrost liczby zachorowań związany jest wiec przede wszystkim z wydłużeniem się średniej długości życia współczesnych społeczeństw cywilizacyjnych. Terminem, którego używa się na określenie wielu różnych chorób mózgu, których wspólną cechą jest utrata funkcji intelektualnych i poznawczych, jest otępienie. Praca przedstawia kluczowe informacje dotyczące zaburzeń neurodegeneracyjnych, w tym najczęściej występującej choroby Alzheimera, stanowiącej wyzwanie dla zdrowia publicznego. słowa kluczowe: starzenie się, otępienie, choroba Alzheimera Abstract Recent population ageing has contributed to the growth of interest in cognitive impairments. The most important risk factor for cognitive impairments is age. Current and predicted socio-demographic trends have made these issues important for an ever - increasing number of people and pose a major public health concern. The term that describes multiple neurodegenerative disorders of the brain, which common feature is the loss of intellectual and cognitive functions, is dementia. The paper describes the key data on neurodegenerative disorders, including Alzheimer’s disease, being the leading cause of dementia worldwide. key words: ageing, dementia, Alzheimer’s Disease

Seniors suffering from dementia are always exposed to a reductive approach and depersonalization due to the specificity of that disease. The subjectivity of a senior is neglected or even completely negated. What remains unnoticed is the fact that, despite their disease, a senior is still a person – with the rights and needs of a person – and not just a helpless patient. The paper presents a break that has been made in the understanding and care of seniors with dementia thanks to the work of Tom Kitwood, a British psychologist. In Kitwood’s Person-Centred Care model, a person is defined as a relational, feeling, and historical being. At the same time, being a person is only possible in the interpersonal context. Hence the author's suggestion to read Kitwood’s concept from the angle of the philosophy of dialogue, which is always an affirmation of subjectivity and an opposition to tendencies that reify human beings. In the author’s opinion, Kitwood translated the main postulates of the philosophy of dialogue into the language of psychology, gerontology and senior care by operationalizing the indicators of the well-being of a patient with dementia.

Throughout the years, the clock test has achieved widespread clinical use in assessing cognitive function in patients with dementia. Both the clock test and Mini-Mental State Examination scale are the most common and simple tools for assessing cognitive functions. They are also part of numerous more complex screening methods. There are several versions of clock test, which vary in their scoring systems and can be performed in different ways. Initially, the test was primarily used for the hemispatial neglect. With time, however, it has become one of the main screening tools for cognitive functions in Alzheimer’s disease and vascular dementia. It is also used in other types of dementia, which are dominated by executive function disorders and visuospatial deficits, such as dementia with Lewy bodies and dementia in Parkinson’s disease. The availability of different versions of the clock test allows for the choice of an appropriate scoring system depending on time available, skills, experience and knowledge of the medical personnel. As a psychometric tool, the clock test is a screening method to be used by doctors, which should help quickly and easily identify dysfunctions and their severity. For this reason, most versions of the test are quantitative, the scoring system is simple, and the evaluation procedure is easy to conduct. The aim of this paper was to analyse and compare the quantitative and qualitative scoring systems of this valuable screening tool.

This paper is concerned with the new issue in pedagogical reflection, the role of pedagogue in therapy and care work with people suffering from dementia. The topic was analysed from a theoretical and practical perspective. Foundations for pedagogical work with persons with dementia and their caregivers described in geragogical concepts (integrative geragogy, dementagogy, personalistic geragogy, person-centred care) were the point of reference for the view on pedagogue arising from the preliminary study conducted in three care facilities. An integral approach to care and therapy in dementia was partially fulfilled in the examined environments, as reflected by the staff’s attitudes to those with dementia and their care from across diverse organisational limitations.

Early and accurate diagnosis of Alzheimer’s disease, which is the most common cause of dementia, is of great importance, as it allows pharmacological treatment of patients with dementia due to this disease. Unfortunately, it is often a long-term process, mainly because of the lack of access to specialists, limited possibilities of additional tests and, above all, the lack of knowledge about the nature of this disease. Sometimes, due to an atypical clinical manifestation, the diagnosis is delayed, preventing timely introduction of pharmacological and non-pharmacological therapy. Obtaining a diagnosis in the preclinical stage of the disease enables the implementation of methods delaying the onset of dementia, mainly by increasing cognitive and physical activity, caring for the physical and mental health and adjusting the diet. These are the only modifiable risk factors for the development of dementia caused by Alzheimer’s disease, as opposed to genetic conditions, age, the number of years of formal education, and a history of brain disorders. The article presents the clinical picture of Alzheimer’s disease in its most common form, mainly presenting with episodic memory disorders, while also providing information about rare, atypical variants of this disease, such as posterior cortical atrophy, logopenic primary progressive aphasia, and the frontal and variant with corticobasal syndrome (dominant apraxic symptoms). The latest diagnostic criteria and the detailed diagnostic workup for dementia are described, and tips facilitating correct diagnosis are given. Particular attention has been paid to the role of information provided by the patient’s caregiver, decompensation factors and the practical use of popular cognitive screening methods. The paper also discusses the most common causes of diagnostic difficulties, including the influence of the natural aging process, somatic burden, and mood disorders on the cognitive state.

Główczewska-Siedlecka Emilia, Mądra-Gackowska Katarzyna, Nowacka Krystyna, Siedlecki Zygmunt, Szostak Mateusz, Kędziora‑Kornatowska Kornelia. Przewlekły krwiak podtwardówkowy u chorej przyjętej do Kliniki Geriatrii z powodu postępującego otępienia - opis przypadku = Chronic subdural hematoma in patient admitted to Geriatric Department because of progressive dementia - case report. Journal of Education, Health and Sport. 2016;6(11):398-403. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.168426 http://ojs.ukw.edu.pl/index.php/johs/article/view/4015 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 755 (23.12.2015). 755 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Author (s) 2016; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 01.11.2016. Revised 12.11.2016. Accepted: 25.11.2016. Przewlekły krwiak podtwardówkowy u chorej przyjętej do Kliniki Geriatrii z powodu postępującego otępienia - opis przypadku Chronic subdural hematoma in patient admitted to Geriatric Department because of progressive dementia - case report Główczewska-Siedlecka Emilia1, Mądra-Gackowska Katarzyna1, Nowacka Krystyna2, Siedlecki Zygmunt3, Szostak Mateusz3, Kędziora-Kornatowska Kornelia1 1. Katedra i Klinika Geriatrii, Collegium Medicum im. L. Rydygiera w Bydgoszczy, Uniwersytet Mikołaja Kopernika w Toruniu 2. Katedra i Klinika Rehabilitacji, Collegium Medicum im. L. Rydygiera w Bydgoszczy, Uniwersytet Mikołaja Kopernika w Toruniu 3. Klinika Neurochirurgii, Neurotraumatologii i Neurochiurgii Dziecięcej, Collegium Medicum im. L. Rydygiera w Bydgoszczy, Uniwersytet Mikołaja Kopernika w Toruniu Streszczenie Przewlekłe krwiaki podtwardówkowe są schorzeniem typowym dla osób wieku podeszłym, objawiać się mogą zaburzeniem funkcji poznawczych, co u starszych chorych wymaga różnicowania z postępującym otępieniem. W niniejszej publikacji przedstawiony jest przypadek 85-letniej chorej przyjętej do Kliniki Geriatrii CM UMK w Bydgoszczy z powodu objawów postępującego otępienia. Badania psychologiczne wykazały istotne odchylenia w zakresie funkcji poznawczych. W badaniu TK głowy wykazano obecność rozległego przewlekłego krwiaka przymózgowego. Chora została poddana leczeniu operacyjnemu drogą trepanacji otworkowej. Przebieg okołooperacyjny był niepowikłany. Dwa tygodnie po zabiegu zaobserwowano poprawę w zakresie funkcji poznawczych. Opisany przypadek dowodzi znaczenia, jakie przewlekłe krwiaki podtwardówkowe odgrywają wśród chorych leczonych na oddziałach geriatrycznych. Słowa kluczowe: przewlekły krwiak podtwardówkowy, otępienie, geriatria Abstract Chronic subdural hematomas (CSDH) are typical for elderly people, its symptoms can be cognitive impairment, which in older patients require differentiation of the progressive dementia. In this publication, we presented a case of 85-year-old patient admitted to the Department of Geriatrics of CM UMK in Bydgoszcz with symptoms of progressive dementia. Psychological tests showed significant cognitive impairment. The CT scan revealed the presence of extensive CSH. The patient underwent surgical treatment through burrhole. Perioperatively no complitations happened. Two weeks later improvement in cognitive function was observed. This case improved the importance of CSDH in geriatrics. Key words: CSDH, dementia, geriatrics

Copyright of Dermatology Review / Przeglad Dermatologiczny is the property of Termedia Publishing House and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)