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Clinical Diagnosis and Management of Alzheimer's Disease, 2nd Edition

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    Clinical Diagnosis and Management of Alzheimer's Disease, 2nd Edition. By serge gauthier. (Pp386, £65.00). Published by Martin Dunitz, London, 2000. ISBN 1-85317-655-9.

    This book is a clear concise and up to date account of current management of Alzheimer's disease. The reader is led through the diagnosis and management of Alzheimer's disease in a readable, well structured, and well presented way. As such, I would envisage that a wide range of health professionals, who have frequent contact with Alzheimer's disease sufferers, including general practitioners, general physicians, geriatricans, specialist nurses, and neurologists, would find this new edition extremely useful.

    The text is divided into several sections, from the initial chapter on definitions and diagnostic criteria, to the diagnosis of Alzheimer's disease and differential diagnosis, the evolution of the disease, medical and social management, and finally ethical and legal issues. The perspective throughout the book is practical, helpful, and informative. For example, the chapter on typical clinical features is full of tables illustrating the symptomatology of the disease. The chapters on structural and functional neuroimaging contain many good quality illustrations and there are also interesting chapters on behavioural problems and functional autonomy. However, perhaps the best section is that on medical management. The confusing issues of the current state of play of drug therapies in Alzheimer's disease are clearly reviewed in a well structured way dealing with symptomatic, stabilisation, and preventative strategies. The social and psychological aspects of the disease are not ignored and the chapters on competence, support of the families, and community services are vital to the comprehensive review of management this book provides.

    With the recent explosion in Alzheimer's disease research, the editors may find that there will be the need for frequent new editions. However at present, the wide appeal of this book is guaranteed by the excellent coverage of the clinical and management issues in Alzheimer's disease.

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