We examine the import of a Comparative Health Care Immersion Program in South Korea to prepare entry-level Master of Science in Nursing (MSN) students studying to become clinical nurse leaders (CNLs) who can dynamically engage the complex issues facing health systems in the United States (U.S.).
View Article and Find Full Text PDFNursing education is being challenged to rapidly evolve in order to meet the complex and systemic health care demands facing societies globally. International immersion is one educational strategy promoted to help prepare nursing students to meet these challenges. The Comparative Health Care Immersion Course in South Korea was created to educate entry-level master of science in nursing (MSN) students studying to become Clinical Nurse Leaders (CNL) to meet the complex systems level challenges facing health care organizations in the United States.
View Article and Find Full Text PDFAlzheimer Dis Assoc Disord
January 2010
There are currently no Food and Drug Administration-approved treatments for frontotemporal lobar degeneration (FTLD). The objectives of this study were to explore the tolerability of memantine treatment in FTLD and to monitor for possible effects on behavior, cognition, and function. Forty-three individuals who met clinical criteria for FTLD [21 with frontotemporal dementia (FTD), 13 with semantic dementia (SD), and 9 with progressive nonfluent aphasia (PA)] received 26 weeks of open-label treatment with memantine at a target dose of 20 mg daily.
View Article and Find Full Text PDFWhile sarcasm can be conveyed solely through contextual cues such as counterfactual or echoic statements, face-to-face sarcastic speech may be characterized by specific paralinguistic features that alert the listener to interpret the utterance as ironic or critical, even in the absence of contextual information. We investigated the neuroanatomy underlying failure to understand sarcasm from dynamic vocal and facial paralinguistic cues. Ninety subjects (20 frontotemporal dementia, 11 semantic dementia [SemD], 4 progressive non-fluent aphasia, 27 Alzheimer's disease, 6 corticobasal degeneration, 9 progressive supranuclear palsy, 13 healthy older controls) were tested using the Social Inference - Minimal subtest of The Awareness of Social Inference Test (TASIT).
View Article and Find Full Text PDFCross-cultural studies of neurodegenerative disorders are especially important when the disease in question is difficult to diagnose, particularly if symptoms of the illness include behavioral disturbances that may be interpreted differently in different cultures. One such disease is frontotemporal lobar degeneration (FTLD), an early-age-of-onset dementia that disproportionately affects social behavior. We report the demographic and neuropsychologic characteristics of more than 300 patients diagnosed with FTLD in the United States, Greece, and Turkey.
View Article and Find Full Text PDFObjective: Changes in social behavior are often the first symptoms of neurodegenerative disease. Patients with frontotemporal lobar degeneration (FTLD) often go undiagnosed, or are misclassified as psychiatric patients, because in the absence of cognitive deficits, nonexperts fail to recognize these social changes as dementia symptoms. The object of this study was to improve screening for behavioral dementias in primary care and mental health settings by quantifying spontaneous social behaviors specific to FTLD.
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