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A high index of suspicion is required, especially in patients with risk factors.

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They contribute greatly to the early institutionalization of patients, increased burden for caregivers because of behavioral disturbances, reduced patient well being, and rapid progression of the dementia syndrome. The prevalence and incidence of psychotic symptoms vary greatly based on study design, stage of disease, and other patient factors.

J Neurosci. 1997;17(20):7736-7745. 114. Morishima Y, Gotoh Y, Zieg J, et al. Beta-amyloid induces neuronal apoptosis via a mechanism that involves the c-Jun N-terminal kinase pathway and the induction of Fas ligand.

" But Hernandez is adamant, there are no touchy exceptions: "You get into shades of grey. The kids say: 'If he can high-five, then I can do this. ' " And after that, it's anarchy.]