Publications by authors named "Dristi Adhikari"

Objective: We aimed to compare the incidence of motoric cognitive risk syndrome (MCR)-a pre-dementia syndrome that is identified by a combination of slowed gait speed and cognitive complaints-and previous mild parkinsonian signs (MPS) in older adults without Parkinson disease who do not have dementia.

Design: Prospective cohort study.

Setting And Participants: The study included community-dwelling older individuals (≥65 years) who did not have MCR at baseline.

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Introduction: Presence of cardiovascular disease is linked to the prevalence and incidence of Motoric Cognitive Risk syndrome (MCR), a pre-dementia syndrome characterized by cognitive complaints and slow gait. Electrocardiograms (ECGs) may offer a cost-effective, non-invasive, and reliable method for detecting cardiovascular abnormalities in individuals with MCR. This approach can not only diagnose cardiovascular disease but also facilitate timely interventions to prevent further cognitive decline in MCR cases.

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Background: The 5-Cog paradigm is a 5-minute brief cognitive assessment coupled with a clinical decision support tool designed to improve clinicians' early detection of cognitive impairment, including dementia, in their diverse older primary care patients. The 5-Cog battery uses picture- and symbol-based assessments and a questionnaire. It is low cost, simple, minimizes literacy bias, and is culturally fair.

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Unlabelled: The subjective happiness scale (SHS) is a brief instrument used to measure global subjective happiness that has been translated from its original English to many other languages. To date, there is no reported translation of this scale into Malayalam, a language spoken by over 32 million people especially in the southern state of Kerala, India. In the present study, 656 community-dwelling older adults participating in the Kerala Einstein study (KES) completed the Malayalam version of the SHS.

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There are no published guidelines regarding remotely training research assistants (RAs) to conduct neuropsychological tests. With technological advances allowing for increased international collaboration within the medical and research communities, challenges often arise from such partnerships, including linguistic, cultural, and physical barriers. A notable challenge for supervising neuropsychologists in international projects is the physical distance from RAs, sites, and materials, making training/supervision of RAs and monitoring test data quite challenging.

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Background: The apathy evaluation scale (AES) measures apathy, but its usefulness as a screening tool in diverse populations is limited without translation into more languages. To date, there is no reported translation of the AES into Malayalam, a language spoken by over 32 million people in the southern Indian state of Kerala. In the present study, we aimed to validate the Malayalam version of the AES.

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Article Synopsis
  • The study investigates the relationship between sleep disturbances and the risk of developing motoric cognitive risk syndrome (MCR), which includes cognitive complaints and slow walking speed, in older adults.
  • Researchers analyzed data from 445 community-residing adults aged 65 and older to see how sleep quality impacted both the onset and prevalence of MCR.
  • Results indicated that poor sleepers were initially at a higher risk for developing MCR, but this link weakened after considering the influence of depressive symptoms.
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Article Synopsis
  • The study explored how happiness affects health outcomes in older adults, focusing on 665 participants from Kerala, India, and looked at various demographic, health, and lifestyle factors.* -
  • Key findings revealed that happiness was significantly linked to self-rated health, social networks, and mental health factors like depression and anxiety, while traditional demographic factors didn't show a strong connection.* -
  • Additionally, certain brain regions associated with happiness were identified, suggesting a complex relationship between brain structure and subjective well-being that may help explain happiness's resilience against age-related decline.*
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Article Synopsis
  • Motoric cognitive risk syndrome (MCR) is a pre-dementia condition marked by cognitive complaints and slow walking, which correlates with difficulties in daily activities.
  • A study compared 46 older adults who developed MCR to 264 who remained cognitively intact, revealing that those in the pre-MCR stage faced significant challenges in complex tasks like managing finances and hobbies.
  • The findings indicate that these functional limitations can appear before a formal diagnosis of MCR, highlighting the importance of monitoring daily activity difficulties as early risk indicators.
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Article Synopsis
  • The Kerala Einstein Study (KES) is a research project aimed at understanding the early stages of cognitive decline, specifically the motoric cognitive risk syndrome (MCR), in older adults living in Kerala, India.
  • Initiated in 2008, the study plans to enroll 1,000 individuals aged 60 and above to identify risk factors related to MCR and compare profiles between urban and rural populations.
  • The research includes comprehensive assessments of cognitive and physical functions, medical backgrounds, lifestyle habits, and imaging tests to gather data on the prevalence and implications of predementia syndromes like MCR in the aging population of Kerala.
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Objective: Motoric cognitive risk (MCR) syndrome, a predementia syndrome characterized by slow gait and subjective cognitive concerns, is associated with multiple age-related risk factors. We hypothesized that MCR is associated with biological age acceleration. We examined the associations of biological age acceleration with MCR, and mortality risk in MCR cases.

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Community pharmacies in Nepal and other South Asian countries are in a mediocre state due to poor regulation and the fact that many pharmacies are run by people with insufficient training in dispensing. This has led to the inappropriate use of medicines. The problems due to poor regulation and the mediocre state of community pharmacies in South Asia encompass both academia and clinical practice.

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