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Research; study; learning; solving problems; making decisions — all these, to be done effectively and efficiently, depend on asking the right questions. Much of the time, however, people let others frame the questions, not realizing how much this shapes how they think.

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.

As I said in my discussion of different scripts, Russian uses the Cyrillic alphabet. Here it is (the 3rd column shows the English counterpart):

А  а   a

Б  б   b

В  в   v

Г  г   g

Д  д   d

Е  е   ye

Find out about the pegword mnemonic

Here are pegwords I've thought up in the Italian language.

As with the original example, let's try it out with our cranial nerves.

In italiano, sono i nervi cranici:

A study¹ of nearly 2000 older adults has found that eating a Mediterranean diet was associated with less risk of developing mild cognitive impairment or of transitioning from MCI to Alzheimer's disease. The third with the highest scores for Mediterranean diet adherence had a 28% lower risk of developing MCI compared to the third with the lowest scores, and of those who already had MCI, those with the highest scores for Mediterranean diet adherence had a 48% less chance of developing Alzheimer’s.

Have you ever been driving a car and suddenly you’re not sure what to do? You’re traveling along in usual automatic fashion and there comes a moment when you need to engage a new subroutine — say, you need to give way at an intersection, or you stall at the traffic lights, or you stop the car — and suddenly, you don’t know what to do. There’s a flash of panic, even while you’re thinking, “This is stupid, I’ve done this a thousand times”, and then, maybe it’s all right, maybe you have to take a moment to get your head in the right space, and ...

Forget the persistent myth that everything is remembered; that our brains are video cameras whirring away recording everything, and that such 'hidden' knowledge can be brought to light by a hypnotist or alien artefact. Such things are the stuff of fantasy. Of course, there is a nugget of truth there: we can, and do, remember things we've paid no conscious attention to. Sometimes the right question can elicit memories we didn't know we had, in more detail than we imagined we could have. But for the most part, what's not noticed is not remembered. Attention is crucial to memory.

The method of loci or place method

This is the classic mnemonic strategy, dating back to the ancient Greeks, and is (as evident from its continued use over 2500 years) an extremely effective strategy for remembering lists.

Most mnemonic strategies are based on imagery. There is no doubt that imagery can be an effective tool, but there is nothing particularly special about imagery. The advantage of imagery is that it provides an easy way of connecting information that is not otherwise readily connected. However, providing verbal links can be equally effective.

What do we mean by word-finding problems?

Here are some examples:

• increasing use of circumlocutions rather than specific terms (e.g., "I wonder where the thing that goes here is")
• use of empty phrases, indefinite terms, and pronouns without antecedents (i.e., referring to something or someone as "it" or "him / her" without first identifying them by name)
• increased frequency of pauses

These problems are all characteristic of Alzheimer's, but also, to a much lesser extent, of normal aging.