J. Wick

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Leo Kanner first described autism in 1943, but it took the America Psychiatric Association almost 40 years to recognize it officially in 1980. It is one of five diverse pervasive developmental disorders grouped under the diagnostic category of autism spectrum disorders (ASD). Autism's core symptoms include socialization deficits, inability to understand and(More)
The U.S. government has almost always allowed some limited legal gambling. In recent years, gambling has proliferated and is legal in some form, including racetracks, casinos, lotteries, bingo, and cards, in almost every state. Observational data and anecdotal reports have created concern that gambling rates, and especially rates of problem gambling, are(More)
Hoarding--the excessive acquisition of and failure to discard possessions, which preclude the appropriate use of living spaces--undermines safety and health by increasing risk for fire, falls, and infections. Hoarding does not result from deprivation early in life, nor are elders with hoarding behaviors merely "thrifty or frugal." Up to 64% of elders with(More)
Walking appears to be a simple innate ability, but it is an extraordinarily complex process involving three major afferent systems (visual, proprioception, and vestibular). Humans' unique gait is established around age seven. Velocity and step-length change with age, but the overall package we call "gait" remains stable. Age is the single most important(More)
Many long-term care residents are diagnosed with dementia, but dementia appears in many forms. Alzheimer's disease, the most common, is typified by a slow onset and relentless progression to complete incapacitation. Vascular dementia usually appears somewhat abruptly, is associated with vascular comorbidities, and has an unpredictable progression pattern.(More)
Clinicians use the word disinhibition and its derivatives to describe a resident's behavior. Up to 30% of people with dementia may manifest behavioral disinhibition; sexual disinhibition is also a problem, but less frequently. Several causal relationships have been hypothesized, with frontal lobe deterioration among the best documented. Lobar lesions or(More)
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