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Clinical Manifestations.

Ignacio Flores1,2, Santiago O Neill3, Guido Dorman4

  • 1Instituto de neurociencias Fundacion Favaloro, Buenos Aires, buenos aires, Argentina.

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Summary
This summary is machine-generated.

Frequent currency changes in Argentina negatively impact individuals with cognitive complaints, affecting their financial management abilities. New banknote designs pose challenges for those with Mild Cognitive Impairment (MCI) in handling money.

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Area of Science:

  • Neuroscience
  • Economics
  • Cognitive Psychology

Background:

  • Argentina has experienced frequent currency changes, averaging one every 29 years since 1881, due to economic instability.
  • Poor economic policies necessitate adaptation to evolving monetary designs, particularly in Latin American countries.
  • Financial management is a key aspect of functional assessment for individuals with cognitive impairment.

Purpose of the Study:

  • To assess the impact of currency changes on the financial management capabilities of patients with cognitive complaints but without dementia.
  • To determine how new banknote introductions affect the functionality of individuals with Mild Cognitive Impairment (MCI).

Main Methods:

  • A prospective experimental study involved patients attending cognitive stimulation workshops.
  • Mathematical problems assessing currency handling were administered before and after the introduction of new banknotes in January 2020 and January 2024.
  • Statistical analysis (R software, chi-square, t-tests) and surveys evaluated performance and proficiency in managing money.

Main Results:

  • The study included 38 patients with Mild Cognitive Impairment (MCI), average age 71, MMSE score 28.
  • Correct problem resolution decreased post-introduction of new banknotes (Study 1: 21 to 12; Study 2: 15 to 9).
  • Calculation times increased significantly, and only 26% could identify new denominations, with 29% reporting difficulties managing banknotes.

Conclusions:

  • Currency redesigns and frequent changes may impair financial self-management in patients with cognitive complaints and MCI.
  • Functionality scales assessing economic self-management may lack specificity in high-inflation economies with currency deregulation.
  • These findings highlight the need for tailored financial management strategies for vulnerable populations in unstable economic environments.