the risk of dementia increases with age, even though dementia is more common in women, it seems that men to higher risk of the earliest signs of the disease, according to the latest research.It is unclear why more men avoid full-blown disease, but understand that this may be to hit key of Neurology reported dementia, archives.
Finally, also a way to stop dementia can cause, hope experts.
Investigators U.S. tracked the health of almost 1,500 older men and women of a three year period.
During this time far more men developed mild cognitive impairment - 72 in every 1,000 compared to 57 per 1,000 women.
The Mayo Clinic researchers as several factors that may distort results, such as age, education and marital status, but found that the gender difference is maintained.
You say more work is needed now to understand if and how men may be slightly prone to dementia.
Dr. Marie Janson, the Alzheimer's research, UK, said: "they show surprising results that may be more vulnerable to MCI (mild cognitive impairment) despite a reduced risk of dementia, and it is men be important to determine whether further investigation these findings can be replicated."
"Read the main story, if we can understand why some people a greater risk for cognitive decline and dementia, we have a chance better able the condition to prevent"End quote Dr Marie Janson Alzheimer Research UK "An important objective for the research is to determine why some people with MCI develop dementia while others do not." If we can understand why some people have a greater risk for cognitive decline and dementia, we stand a better chance to be able to prevent the condition.
"With the need for research, find 820.000 people with dementia, and one of the rapidly ageing population, new ways for the treatment and prevention which condition was never more urgent."
It may be simply that fewer people live to reach an age when more expands their dementia. It is known that on average tend to be women survive in men.
Gender differenceBut some scientists believe that the difference could be explained only by gender.
Studies have shown, for example, a person gender influence how benefits can performing body and mind.
Women exercise is more associated mortality benefit, while in men, the positive effect of the exercise more is a cognitive improvement.
In an accompanying editorial, Dr. Kenneth Rockwood of at Dalhousie University in Canada, said: "for some men, MCI incomplete disease expression represents;" Alternatively, they resist development more dementia.
"MCI in men could look like this insight in what prevent dementia could give."
Professor Derek Hill of University College London, said: "by the time people get clinical dementia, it may well be too late to treat them."
"This study shows that MCI is a very complex mix of factors, and different types of MCI emerge and progress quite different."
"This information can be important in improving diagnostics to identify patients who benefit from current or future applications."
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One-fifth of Medicare nursing home patients with advanced Alzheimer's or other dementias were sent to hospitals or other nursing homes for questionable reasons in their final months, often enduring tube feeding and intensive care that prolonged their demise, a new study found.Nursing homes may feel hospital care is warranted when a frail, elderly patient develops swallowing problems, pneumonia or a serious infection, but researchers suspect a different motive for many transfers: money. Medicare pays about three times the normal daily rate for nursing homes to take patients back after a brief hospitalization."I think that's unfortunately a factor in what's happening here," said Dr. Joan Teno, a palliative care physician and health policy professor at Brown University. "A lot of this care just feels like in and out, in and out. You really have to question, is the health care system doing a good job or not."She is a co-author of the study, published in Thursday's New England Journal of Medicine and done with researchers from Harvard University and Dartmouth Medical School.Among the nearly 475,000 patients studied, 19 percent were moved for questionable reasons. The study provided no evidence that money motivated such transfers or that there was wrongdoing involved. However, the large variation that researchers saw from state to state suggests money may be playing a role.Rates of such transfers varied from 2 percent in Alaska to more than 37 percent in Louisiana. In McAllen, Texas, 26 percent of study participants had multiple hospitalizations for urinary infections, pneumonia or dehydration — conditions that usually can be treated in a nursing home. That compares to just 1 percent of patients in Grand Junction, Colo.The researchers used Medicare records from 2000 through 2007 to identify "burdensome" transitions of care: moving patients in the last three days of life, moving them multiple times in the last three months of life, or moving them so they landed in a new nursing home afterward.Medicaid pays on average $175 per day, depending on the state, for long-term care, but Medicare will pay three times that for skilled nursing care after a patient returns from three days or more in a hospital."If you have a nursing home that is operating on a margin, it adds up. It can be a tremendous incentive to hospitalize these people," Teno said.Researchers found that patients who had a dubious transfer were more likely to have a feeding tube inserted, to spend time in intensive care in the last month of life, to have a severe bedsore or to be enrolled in hospice late (three days or less before they died).Dubious transfers were more common with black patients, Hispanics and those without advance directives, legal documents spelling out care wishes.The National Institute on Aging sponsored the study. One author consults for a nursing home system and owns stock in a long-term care information services company.The study is important because more than 1.6 million Americans live in nursing homes, and nearly one-quarter of people admitted to one after hospitalization wind up back in the hospital within a month, Dr. Joseph Ouslander of Florida Atlantic University in Boca Raton and Dr. Robert Berenson of the Urban Institute in Washington, D.C., wrote in an editorial in the journal. Nursing homes may fear legal liability if they don't hospitalize a very sick patient, they wrote.However, people with advanced dementia have a terminal condition."These are people who are unable to recognize their relatives, they're bed-bound and they're now usually having problems with swallowing. This is a population where the burdens of hospitalization often outweigh the possible benefits," Teno said. "These patients actually do better when they stay in a nursing home," where caregivers and surroundings are familiar, she said.For families and nursing homes, "it may be difficult to recognize that in fact, this person is in the dying process," said Dr. Michael Malone, medical director of senior services for Aurora Health Care, a network of 15 hospitals in eastern Wisconsin. His 87-year-old father, Wendell Malone, died in January of advanced dementia in a nursing home that managed his care without frequent hospitalizations."It provided dignity, it provided comfort for the family," and let him stay in a place and with caregivers he knew, Malone said.Beth Kallmyer, who runs programs for caregivers for the Alzheimer's Association, said the most important thing is to have a plan in place, with legal documents like "do not hospitalize" directives, before a nursing home has to make a decision about whether to hospitalize someone or instead focus on comfort care and not try to prolong life."When the time comes, the family will be able to say 'This is what dad wanted,'" Kallmyer said.She and other experts offered these tips:—Involve patients in planning their care while they're still able to do so, and make sure wishes like "do not resuscitate" or "do not call 911" are spelled out in legal documents.—Develop good relationships with nursing home staff and attending physicians so they understand the family's goals of care.—Consider hospice care when seniors with advanced dementia are admitted.—Revisit and review the plan whenever there is a change in a loved one's status. Someone may not be end-stage when they enter a nursing home but that can change.—Seek advice. The Alzheimer's Association has a 24-hour toll-free number, 1-800-272-3900, with counselors to help families.___Online:Medical journal: www.nejm.orgState reports: www.LTCFocUS.org___Marilynn Marchione can be followed at http://twitter.com/MMarchioneAPAssociated Press 
Donald Stewart picks beans at the Potager Garden Dementia patients across the country may be spending 24 hours a day locked in hospital wards - an unacceptable regime even for convicted prisoners. 
Annie Pollock is a landscape designer and expert on gardening for dementia patients. 
The Potager is a community garden in Kinross 
