Case scenario Dorothy.

A 70-year-old woman with dementia and no insight: the best approach Most individuals with early signs of dementia involve some impairment within their insight approximately the changes in their cognition and behaviour. This article discusses the best method of managing and assessing an individual with dementia and no insight. Case scenario Dorothy, a 70-year-older retired physician, presented to her GP with a superficial lower leg injury.Stoll, M.D., Josefine Heim-Hall, M.D., Michael W. Varner, M.D., Robert L. Goldenberg, M.D., Radek Bukowski, M.D., Ph.D., Ronald J. Wapner, M.D., Carolyn D. Drews-Botsch, Ph.D., Barbara M. O'Brien, M.D., Donald J. Dudley, M.D., and Brynn Levy, Ph.D. For the NICHD Stillbirth Collaborative Analysis Network: Karyotype versus Microarray Testing for Genetic Abnormalities after Stillbirth Stillbirth, which is defined as fetal death at or after 20 weeks of gestation, occurs in 1 of every 160 births in the United States.1 Despite considerable evaluation, 25 to 60 percent of stillbirths remain unexplained.2 Karyotypic abnormalities are detected in 6 to 13 percent of stillbirths with an effective karyotype analysis.3,4 Some stillbirths may have chromosomal imbalances below the resolution of conventional cytogenetic analysis, which is 5 to 10 Mb typically.