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The first of the 3 items in the 5-Cog battery is the Picture-Based Memory Impairment Screen (PMIS), created by Verghese et al [37], which uses 4 pictures to test free and cued recall after a delay of at least 2 minutes. Administration and scoring have been previously described [38].
JMIR Res Protoc 2025;14:e60471
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MCR is a predementia syndrome characterized by cognitive complaints and slow gait, proposed by Verghese and colleagues in 2013 [20], and validated in multiple countries [13,21-23]. MCR predicts both Alzheimer disease and vascular dementia even after accounting for overlap with mild cognitive impairment (MCI) [13,20,21]. MCR is common; the prevalence was 9.7% in our 17-country study (including KES) [13].
JMIR Res Protoc 2023;12:e49933
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