Population Health Solutions for Assessing Cognitive Impairment in Geriatric Patients.

In December 2017, the National Academy of Neuropsychology convened an interorganizational Summit on Population Health Solutions for Assessing Cognitive Impairment in Geriatric Patients in Denver, Colorado. The Summit brought together representatives of a broad range of stakeholders invested in the care of older adults to focus on the topic of cognitive health and aging. Summit participants specifically examined questions of who should be screened for cognitive impairment and how they should be screened in medical settings. This is important in the context of an acute illness given that the presence of cognitive impairment can have significant implications for care and for the management of concomitant diseases as well as pose a major risk factor for dementia. Participants arrived at general principles to guide future screening approaches in medical populations and identified knowledge gaps to direct future research. Key learning points of the summit included: recognizing the importance of educating patients and healthcare providers about the value of assessing current and baseline cognition;emphasizing that any screening tool must be appropriately normalized and validated in the population in which it is used to obtain accurate information, including considerations of language, cultural factors, and education; andrecognizing the great potential, with appropriate caveats, of electronic health records to augment cognitive screening and tracking of changes in cognitive health over time

Y a-il un modèle de contacts de langues à retirer de l'expérience indienne ?

McConnel Grant D. Y a-il un modèle de contacts de langues à retirer de l'expérience indienne ?. In: Langage et société, n°41, 1987. Contacts de langues : quels modèles. pp. 47-48

Y a-il un modèle de contacts de langues à retirer de l'expérience indienne ?

McConnel Grant D. Y a-il un modèle de contacts de langues à retirer de l'expérience indienne ?. In: Langage et société, n°41, 1987. Contacts de langues : quels modèles. pp. 47-48

Continental margin subsidence: A Comparison between the east and west coasts of Africa

Sedimentation rates (corrected for compaction) from along the passive continental margin of Africa between the Equatorial Fracture Zone and Somalia are used to compare the rates of subsidence of the continental crust since early Mesozoic time. Three distinctive subsidence histories can be identified which correspond with basinal areas that have different structural styles: rifted (west coast), sheared (Equatorial and Agulhas fracture zones) and sunk (zones of vertical tectonics in eastern Africa). A comparison of subsidence rates with other tensional margins (NE USA and the North Sea) and a consideration of the plate tectonic history of the African margins leads to the proposal of a geo and thermodynamic model that takes cognizance of the worldwide mid-Cretaceous rheological discontinuity between taphrogenic and epeirogenic basin formation recognized by Kent, and the more generally accepted, purely plate tectonic driven model of margin subsidence. The new suggestion involves a lower Mesozoic worldwide rise in the geothermal gradient in the lithosphere which produces metamorphism of the base of the continental crust and initiates taphrogenesis along lineaments throughout Gondwanaland. A lowering of the geothermal gradient in the lower Cretaceous produces a switch to epeirogenic subsidence, driven solely by sediment loading and thermal contraction, by Aptian/Albian times. The thermal event facilitated continental separation, and sea floor spreading commenced locally at various times along the active taphrogenic belts. Local thermal and tectonic aberrations associated with this phenomenon over print onto the worldwide pattern of marginal basin subsidence. A further rise in the geothermal gradient may have been responsible for renewed taphrogenesis in eastern Africa in Tertiary times