Rehabilitation Services for Young-Onset Dementia: Examples from High- and Low-Middle-Income Countries.

The WHO Dementia Global Action Plan states that rehabilitation services for dementia are required to promote health, reduce disability, and maintain quality of life for those living with dementia. Current services, however, are scarce, particularly for people with young-onset dementia (YOD). This article, written by an international group of multidisciplinary dementia specialists, offers a three-part overview to promote the development of rehabilitation services for YOD. Firstly, we provide a synthesis of knowledge on current evidence-based rehabilitative therapies for early-onset Alzheimer's disease (EOAD), behavioural variant frontotemporal dementia (bvFTD), primary progressive aphasia (PPA), and posterior cortical atrophy (PCA). Secondly, we discuss the characteristics of rehabilitation services for YOD, providing examples across three continents for how these services can be embedded in existing settings and the different roles of the rehabilitation multidisciplinary team. Lastly, we conclude by highlighting the potential of telehealth in making rehabilitation services more accessible for people with YOD. Overall, with this paper, we aim to encourage clinical leads to begin introducing at least some rehabilitation into their services, leveraging existing resources and finding support in the collective expertise of the broader multidisciplinary dementia professional community.

Acto médico y potencial conflicto de intereses con el marketing farmacéutico / The medical consultation and potential conflicts of interest with pharmaceutical marketing

El fin primario de la medicina es procurar la curación, aliviar el dolor y fomentar la salud del paciente, no obstante en algunas ocasiones entra en conflicto con móviles secundarios. Este artículo pretende definir qué es un conflicto de interés, las distintas formas en el que este se manifiesta en el acto médico, como una herramienta que permita al médico una adecuada toma de decisiones en su relación con la industria farmacéutica.

The primary purpose of medicine is to seek healing, relieve pain and promote patient health. However, sometimes there may be conflicts with secondary motives. This article seeks to define what a conflict of interest is, the ways in which it appears in clinical practice, and how it can be used as a tool to help doctors in their decision-making vis-à-vis the pharmaceutical industry.