While two studies have equated MMSE and MoCA-30 to Telephone MoCA and MoCA-22 in the younger-old, equivalencies for the oldest-old have not been reported. Rather, higher MMSE scores correspond to lower MoCA-30 scores, likely because some of MoCA-30 subtests are more challenging. Equating MMSE to MoCA-30 in the younger-old shows that, although these two tests have identical score range (0–30), they do not have one-to-one correspondence. To facilitate continuity of cognitive tracking in individuals tested with MMSE, MoCA-30, and MoCA-Blind/ Telephone MoCA at different times and to provide comparability of data among multiple studies and trials, the ability to equate scores of these three tests is necessary. The MoCA-30 is more sensitive to mild forms of cognitive impairment, has a higher diagnostic accuracy than the MMSE, and is available at no cost. Recently, many clinical and research settings have switched to using the MoCA-30/ MoCA-Blind/ Telephone MoCA from the Mini-Mental State Exam (MMSE), another common screening measure. However, no norms for MoCA-30 subtests and domains or MoCA-Blind/ Telephone MoCA total score have been published for the oldest-old. To address the need for telephone cognitive screening, Telephone MoCA, identical to MoCA-Blind with slightly modified testing procedures to accommodate telephone testing, was developed and normative cut-points published for younger-old. The second challenge in testing the oldest-old is that prevalent frailty and other comorbidities prevent many of them from travelling to testing sites, which makes telephone screening a method of choice. Henceforth, the sum of in-person MoCA-30 subtests included in MoCA-Blind, that has maximum possible score of 22, is called MoCA-22. MoCA-Blind normative cut-points, to distinguish cognitively normal from cognitively impaired younger-old, were published for the sum of in-person MoCA-30 subtests included in MoCA-Blind. Additionally, MoCA-Blind, that includes MoCA-30 subtests that do not require visual input and has a maximum possible score of 22, was developed to enable in-person cognitive screening of individuals with visual impairment. In that vein, subtest and domain norms in younger-old (older adults younger than 90 years) have been published for one of the most frequently used screening measures, the in-person Montreal Cognitive Assessment that has a maximum possible score of 30 (MoCA-30). In such situations, subtest and domain norms allow for evaluation of completed subtests. First, sensory and cognitive impairments make many of the oldest-old unable to complete all subtests of in-person screening measures, which makes calculation of the total score and its comparison to normative values impossible. However, cognitive testing of this age group is challenging. The equivalences of the three cognitive tests (MMSE, MoCA-30, MoCA-22) in the oldest-old will facilitate continuity of cognitive tracking of individuals tested with different tests over time and comparison of the studies that use different cognitive tests.Ĭognitive screening of the oldest-old (age 90 +) has become increasingly important, because this age group has the highest risk of dementia and its projected growth in the coming decades is rapid. Subtest, domain and MoCA-22 norms will aid in evaluation of the oldest-old who cannot complete the MoCA-30 or are tested over the phone. An MMSE score of 27 is equivalent to a MoCA-30 score of 22 and a MoCA-22 score of 16. MoCA-22 total score norms are: mean = 18.3(standard deviation = 2.2). Second, we derived score equivalences for MMSE to MoCA-30 and MoCA-22, and MoCA-30 to MoCA-22 using equipercentile equating method with log-linear smoothing, based on all 157 participants. These norms were derived from 124 participants with a Mini-Mental State Examination (MMSE) ≥ 27. First, we derived norms for (1) subtests and cognitive domains of the in-person Montreal Cognitive Assessment having a maximum score of 30 (MoCA-30) and (2) the total MoCA-22 score, obtained from the in-person MoCA-30 by summing the subtests that do not require visual input to a maximum score of 22. Methodsĭata on 157 participants of the Center for Healthy Aging Longevity Study aged 90 + were analyzed. To provide norms and score equivalence for commonly used cognitive screening tests for the oldest-old. However, norms and score equivalence for screening tests are lacking for this group. This age group is the fastest growing and has the highest risk of dementia. Cognitive screening is important for the oldest-old (age 90 +).
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15 on the Billboard Hot 100, making it their first single to reach the Top 20. On July 21, 2009, the artist released their second album, Here We Go Again. In promotion of this album, Lovato went on tour with the Jonas Brothers on their Burnin' Up Tour as the opening act. On September 23, 2008, Lovato released their first album, Don't Forget, which debuted at No. Albums and Hit Songs 'Don't Forget' and 'Here We Go Again' The series debuted in 2009, becoming one of the channel's most popular programs and making Lovato one of its brightest stars. Lovato was the star of their own Disney Channel television show called Sonny with a Chance. The film was made in Puerto Rico and Lovato co-starred with their then-good friend Selena Gomez. Later on, in 2008, they began filming the Disney Channel Original Movie, Princess Protection Program. In 2008, Lovato covered the Academy Award-nominated song, "That's How You Know" from Enchanted on the DisneyMania 6 album. Their role on that ended, however, when Lovato was cast as Mitchie Torres in the starring role of the Disney Channel movies Camp Rock and Camp Rock 2: The Final Jam. First, they got a part on a short television show called As The Bell Rings. In 2007, Lovato began working with the Disney Channel. Disney Star: 'Camp Rock' to 'Sonny with a Chance' After a stint on Barney & Friends, Lovato guest-starred on the television dramas Just Jordan and Prison Break. They started their show business career in earnest at the age of 10 when they became a series regular on the children's television show Barney & Friends. Growing up, Lovato won several talent contests and performed in famous venues, including the Eismann Center and the Dallas Cowboys' Thanksgiving Day halftime show with LeAnn Rimes. Their older sister, Dallas, is also a singer and actress, and younger sister, Madison, was born in 2002. Lovato is the middle child of three sisters. Lovato's mother, Dianna, is a former country music recording artist and Dallas Cowboys Cheerleader. Early Life and Careerĭemetria Devonne Lovato was born on August 20, 1992, in Albuquerque, New Mexico. Lovato has followed with the albums Unbroken, Confident and Tell Me You Love Me, scoring hits with singles like "Skyscraper" and "Sorry Not Sorry." They have also continued to appear on television, serving as a judge on the singing competition show The X Factor from 2012 to 2013. Meanwhile, they launched a successful recording career with the release of their debut album, Don't Forget, in 2008. Though the docuseries follows those who used the character as an outlet for anger, Barney-and the kids who starred alongside him-continue to have a lasting positive impact on fans and the show's cast and crew.Demi Lovato started out as a child actor on Barney & Friends, before moving on to roles in shows like Sonny with a Chance and the film Camp Rock. While the show was teaching kids the importance of kindness and acceptance on-screen, off-screen, Barney became a target for haters and trolls-a backstory that's the subject of Peacock's new docuseries I Love You, You Hate Me.Īccording to the streamer's description, the two-part series will follow "the rise and fall of Barney the Dinosaur's furious backlash-and what it says about the human need to hate." and Baby Bop were some of Hollywood's biggest stars before they became household names, including Selena Gomez, Demi Lovato, Debby Ryan and more. Since the show's premiere in 1992, Barney & Friends brought smiles to kids all over the world over the course of its almost 20-year-run on PBS. But what you might not know is that several stars got their big break on the beloved children's series. Conveniently choose from Hotwire’s inventory of hotels in Tappens Beach for some of the best accommodations and flight deals. 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A variety of concrete type perches are available to help the keep nails trim, but they should still be trimmed if they become overgrown. The beak and claws need to be trimmed if they are not worn down from climbing and chewing. The wings should be kept trim if you want to discourage flight and to prevent the loss of your pet through an open window or door. This will help remove the clear feather sheaths from new feathers, as these can get itchy and uncomfortable. Scratch lightly in the direction of the feathers on the top of the heads, the neck area, and other areas they can’t reach. However, a cockatoo’s personal hygiene may include a weekly shower or bath to get rid of accumulated feather dust.īathing a cockatoo in anything other than plain water can change the pH of its feathers and may lead to troubles such as infections, or parasitic infestations like mites. They naturally produce a great deal of dust which aids in keeping their wings and skin healthy. 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Cockatoos stand out from other parrot species with their dramatic crest feathers, dusty feathers, and varying shades of white, pink, gray and black. Cockatoo for Sale,a cockatoo is a lovely but demanding bird. It goes without saying that, if you don’t mind the sugar (Lucky you!), you can use sugar, in the exact same proportions as erythritol. You can even use 1/3 orange, 1/3 grapefruit, and 1/3 lemon. I am using using about 2/3 oranges and 1/3 lemons, but you can use all oranges. Now that I got the hang of it with sugar-free orange marmalade, the rest is easy! Watch out for berry jam and apricot jam next. This means choose a pot with a broad bottom. And your mixture must be as shallow as possible. It must be non reactive: stainless steel. A bargain, don’t you think? The choice of a pot is important: Just to keep the math clear: that is a third of the sugar used in all-sugar preserves. The color and the sheen was perfect when I used two parts erythritol and one part sugar. But I wanted to streamline the recipe further, and I am mighty pleased with my results. I have a whole chapter on all-fruit jams in my book, The Whole Foods Kosher Kitchen. No objectionable taste whatsoever I have been using it with increasing confidence in cookies, muffins, even chocolate cake! You will enjoy dessert more often now! Reduced Sugar Citrus Marmalade In fact I love it so much I always make sure I have it on hand. Rather, I experimented with natural sweeteners that had a much more respectable pedigree: Erythritol was the winner, hands down, not just for its perfect flavor but for its nutritional profile (read the info in the link). I resolutely distance myself from the Splenda crowd, sorry. If Mind Over Matter didn’t work for me, the artisan, how on earth would it work for anyone? We all know our eyes eat first, and my eyes were not having any of it, thank you very much! What do I mean by Sugar-Free Citrus Marmalade? It was missing the pristine sheen of sugar-based preserves, and frankly it was none too inviting. I hated the drab and lackluster color I kept getting without any sugar, even though the flavor was terrific. This hit came after much trial and error. My Sugar-Free Marmalade was an Instant Hit Just like in my young care-free lean years when diet was a dirty word! I thought, if I could pull off a great Sugar-free jam of some sort, I could go back to slathering it on whole grain toast, with a layer of peanut or almond butter, and call it lunch: one of my favorite treats. While I find it very hard to swear off all sugar (life without an occasional cookie or ice cream scoop would not be worth living!), I like to use my modest sugar allowance as judiciously as I possibly can. I wanted to reconcile at all costs my love for all things jam and preserves with my very moderate sugar consumption. I was determined to make a sugar-free version, or at least a very reduced sugar version, and end up with a citrus marmalade I could enjoy more often. |