Articles

Except in the cases of stroke or traumatic brain injury, loss of cognitive function is not something that happens all at once. Cognitive impairment that comes with age may be thought of as belonging on a continuum, with one end being no cognitive impairment and the other end being dementia, of which Alzheimer's is the most common type.

To celebrate Māori Language Week here in Aotearoa (New Zealand), here's some mnemonics to help you learn 25 common words in te reo. These use the keyword mnemonic. Keywords are written in italics.

aroha (love), an arrow in the heart

awa (river), a water flowing

hīkoi (walk), hike

hui (gathering, meeting), a lot of hooey is spoken at meetings!

iti (small), itty bitty

Having trouble sleeping is perfectly normal, especially as we age. It’s estimated that half of those older than 55 have trouble getting to sleep or staying asleep.

What to do if your sleep is poor

Let’s start with the easiest situation: you’re not getting enough sleep because you wilfully go to bed too late to achieve your needs.

Some personal experience

I have two sons. One of them was a colicky baby. Night after night my partner would carry him around the room while I tried to get a little sleep. One night, for his own amusement, my partner chose a particular CD to play. Magic! As the haunting notes of the hymns of the 12th century abbess Hildegard of Bingen rang through the room, the baby stopped crying. And stayed stopped. As long as the music played. Experimentation revealed that our son particularly liked very early music (plainchant from the 15th century Josquin des Pres was another favorite).

I want to talk to you this month about an educational project that’s been running for some years here in New Zealand. The Project on Learning spent three years (1998-2000) studying, in excruciating detail, the classroom experiences of 9-11 year olds. The study used miniature videocameras, individually worn microphones, as well as trained observers, to record every detail of the experiences of individual students during the course of particular science, maths, or social studies units.

Autobiographical memory contains the information you have about yourself. It includes several domains:

There is a very common form of forgetfulness that is not really a failure of memory. When we get in our car to drive to place A and find ourselves instead on the road to the more familiar place B, this is not a failure of memory. When we clear the table and find ourselves putting the margarine in the dishwasher or the dirty plate in the fridge, this is not a failure of memory. When we go into a room intending to do one thing and do something else instead, this is not, really, a failure of memory.

Prevalence

Vascular dementia, as its name suggests, is caused by poor blood flow, produced by a single, localized stroke, or series of strokes.

It is the second most common dementia, accounting for perhaps 17% of dementias. It also co-occurs with Alzheimer's in 25-45% of cases. Although there are other types of dementia that also co-occur with Alzheimer's, mixed dementia generally refers to the co-occurrence of Alzheimer's and vascular dementia.

Prevalence of dementia

Dementia is estimated¹ to afflict over 35.5 million people worldwide -- this includes nearly 10 million people in Europe, nearly 4.4 million in North America, nearly 7 million in South and Southeast Asia, about 5.5 million in China and East Asia and about 3 million in Latin America.

When we are presented with new information, we try and connect it to information we already hold. This is automatic. Sometimes the information fits in easily; other times the fit is more difficult — perhaps because some of our old information is wrong, or perhaps because we lack some of the knowledge we need to fit them together.