The Clinical Dementia Rating or CDR is a numeric scale used to quantify the severity of symptoms of dementia (i.e. its 'stage').
46-431: Using a structured-interview protocol developed by Charles Hughes, Leonard Berg, John C. Morris and other colleagues at Washington University School of Medicine , a qualified health professional assesses a patient's cognitive and functional performance in six areas: memory , orientation , judgment & problem solving , community affairs, home & hobbies, and personal care. Scores in each of these are combined to obtain
92-411: A composite score ranging from 0 through 3. Clinical Dementia Rating Assignment Qualitative equivalences are as follows:NACC Clinical Dementia Rating CDR is credited with being able to discern very mild impairments, but its weaknesses include the amount of time it takes to administer, its ultimate reliance on subjective assessment, and relative inability to capture changes over time. While the assessment
138-532: A friend of Franz Kafka , was a culturally sophisticated woman. Gerty was tutored at home before enrolling in a lyceum for girls, and at the age of 16, she decided she wanted to be a medical doctor. Pursuing the study of science, Gerty learned that she lacked the prerequisites in Latin, physics, chemistry, and mathematics. Over the course of a year, she managed to study the equivalent of eight years of Latin, five years of science, and five years of mathematics. Her uncle,
184-566: A particular enzymatic defect. She was the first to show that a defect in an enzyme can cause a human genetic disease. Gerty and Carl Cori collaborated on most of their work, including that which won the 1947 Nobel Prize in Physiology or Medicine "for their discovery of the course of the catalytic conversion of glycogen". They received one half the prize, the other half going to the Argentinian physiologist, Bernardo Houssay "for his discovery of
230-563: A position but refused to hire Gerty. Gerty was informed during one university interview that it was considered "un-American" for a married couple to work together. Carl refused a position at the University at Buffalo because the school would not allow him to work with his wife. In 1931, they moved to St. Louis, Missouri , when Washington University offered positions to both Carl and Gerty, although Gerty's rank and salary were much lower than her husband's. Despite her research experience, Gerty
276-499: A professor at the School of Medicine, became the first woman to win a Nobel Prize in Physiology or Medicine. Professors Carl and Gerty Cori became Washington University's fifth and sixth Nobel laureates for their discovery of how glycogen is broken down and resynthesized in the body. In 1950, a Cancer Research Building was completed, the first major addition to the School of Medicine since its 1914 move and one of several buildings added in
322-519: A professor of pediatrics, encouraged her to attend medical school, so she studied for and passed the university entrance examination. She was admitted to the medical school of the Karl-Ferdinands-Universität in Prague in 1914, an unusual achievement for women at that time. While studying, she met Carl Cori , who was immediately attracted to her charm, vitality, sense of humor, and her love of
368-532: Is recognized as one of the best medical schools in the United States, consistently ranking in the top ten medical schools within the country. Acceptance to the school's Doctor of Medicine (MD) program is extremely competitive, with more than 6,000 applications for about 124 openings each year. In 2022, accepted applicants had an average MCAT of 522 (99th percentile) and an average undergraduate GPA of 3.94. Its major teaching hospital, Barnes Jewish Hospital,
414-586: Is the largest building constructed on Washington University's campus. Called the BJC Institute of Health at Washington University, it houses the University's BioMed 21 Research Initiative, five interdisciplinary research centers, laboratories, and additional space for The Genome Center . Prominent buildings, centers, and spaces at the medical campus includes Barnes-Jewish Hospital , the Central Institute for
460-667: Is the more celebrated of the Coris because she is considered a pioneer woman of science. In her lifetime, however, she experienced much prejudice as a woman. Just before winning the Nobel prize, while they were on a mountain climbing trip, the Coris learned that Gerty Cori was ill with myelosclerosis , a fatal disease of the bone marrow. During her years at the Institute for the Study of Malignant Disease, Gerty had worked with X-rays, studying their effects on
506-557: Is ultimately subjective in nature, recent studies have suggested a very high interrater reliability. Thus the CDR is a reliable and valid tool for assessing and staging dementia. With increasing clinical focus on dementia, there is likewise increasing interest in pharmacology in the development of drugs to halt, or slow the progression of dementia-related illness such as Alzheimer's Disease. Therefore, early and accurate diagnosis of dementia and staging can be essential to proper clinical care. Without
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#1732852444585552-1166: The American Society of Biological Chemists , the American Chemical Society and the American Philosophical Society . She and her husband were presented jointly with the Midwest Award (American Chemical Society) in 1946 and the Squibb Award in Endocrinology in 1947. In addition, Cori received the Garvan-Olin Medal (1948), the St. Louis Award (1948), the Sugar Research Prize (1950), the Borden Award (1951). Despite rampant gender discrimination and nepotism rules, she never stopped pursuing her lifelong interest in medical research. Brilliant and quick-witted, Cori
598-540: The Central West End neighborhood of St. Louis , Missouri. Founded in 1891, the School of Medicine shares a campus with Barnes-Jewish Hospital , St. Louis Children's Hospital , and the Alvin J. Siteman Cancer Center . The clinical service is provided by Washington University Physicians, a comprehensive medical and surgical practice providing treatment in more than 75 medical specialties. Washington University Physicians are
644-523: The Cori cycle ). They also identified the important catalyzing compound, the Cori ester . The Coris were the third ever married couple to win the Nobel Prize. In 2004, both Gerty and Carl Cori were designated a National Historic Chemical Landmark in recognition of their work in clarifying carbohydrate metabolism . In 1957, Gerty Cori died after a ten-year struggle with myelosclerosis . She remained active in
690-506: The 1910s. One is the Center for Advanced Medicine, which houses the Alvin J. Siteman Cancer Center and was completed in December 2001. At 650,000 square feet (60,000 m ), it is one of the largest buildings in the complex. In 2007, construction began on the 700,000-square-foot (65,000 m ) BJC Institutes of Health, of which Washington University's Medical School occupies several floors. It
736-425: The Coris were discouraged from working together at Roswell, they continued, specializing in investigating carbohydrate metabolism . They were particularly interested in how glucose is metabolized in the human body and the hormones that regulate this process. They published fifty papers while at Roswell. The lead author of each paper was the one who had done the most research. Gerty Cori published eleven articles as
782-651: The Deaf , St. Louis Children's Hospital , Rehabilitation Institute of Saint Louis, the Siteman Cancer Center, Center for Advanced Medicine, Charles F. Knight Emergency and Trauma Center, and the Eric P. Newman Education Center. The complex is accessible via the Central West End MetroLink station, which provides transportation to the rest of Washington University's campuses. Washington University School of Medicine
828-992: The School of Medicine. 15 faculty members are fellows of the National Academy of Sciences ; 30 belong to the Institute of Medicine . 116 faculty members hold individual career development awards from the National Institutes of Health (NIH). 77 faculty members hold career development awards from non-federal agencies. 15 faculty members have MERIT status, a special recognition given by the National Institutes of Health that provides long-term, uninterrupted financial support to investigators. Physiology or Medicine Chemistry 38°38′13″N 90°15′53″W / 38.6370°N 90.2646°W / 38.6370; -90.2646 Gerty Cori Gerty Theresa Cori ( née Radnitz ; August 15, 1896 – October 26, 1957 )
874-471: The St. Louis Medical College decided to affiliate with the University, establishing a Medical Department. Robert S. Brookings , a University benefactor from its earliest days, devoted much of his work and philanthropy to Washington University and made the improvement of the Medical Department one of his primary objectives. This stemmed from concern after an early 1900s Carnegie Foundation report derided
920-468: The ability to reliably assess dementia across the board, the misuse of anti-dementia compounds could have negative consequences, such as patients receiving the wrong medication, or not receiving treatment in the early stages of dementia when it is most needed. Washington University School of Medicine Washington University School of Medicine in St. Louis ( WashU Medicine ) is the medical school of Washington University in St. Louis , located in
966-524: The compound's structure, identified the enzyme phosphorylase that catalyzed its chemical formation, and deduced that the Cori ester is the beginning step in the conversion of the carbohydrate glycogen into glucose (breaking down energy stores into a form that can be used). It can also be the last step in the conversion of blood glucose to glycogen, as it is reversible. Gerty Cori also studied glycogen storage disease , identifying at least four forms, each related to
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#17328524445851012-417: The couple emigrated to the United States in 1922. Gerty Cori continued her early interest in medical research, collaborating in the laboratory with Carl. She published research coauthored with her husband, as well as publishing singly. Unlike her husband, she had difficulty securing research positions, and the ones she obtained provided meager pay. Her husband insisted on continuing their collaboration, though he
1058-411: The decade. In the 1960s the School of Medicine diversified its student body, graduating its first African-American student and substantially increasing the percentage of graduating students who are female to nearly half. In March 2020, Washington University School of Medicine announced the construction of a new $ 616 million, 11-story, 609,000-square-foot neuroscience research building which will sit at
1104-544: The eastern edge of the Medical Campus in the Cortex Innovation Community . Construction of the building finished in 2023. Washington University Medical Campus comprises 186 acres (75.3 ha) spread over about 18 city blocks, located along the eastern edge of Forest Park within the Central West End neighborhood of St. Louis. Barnes-Jewish Hospital and St. Louis Children's Hospital, part of BJC HealthCare, are
1150-489: The hospital, Gerty Cori worked on the pediatrics unit and conducted experiments in temperature regulation, comparing temperatures before and after thyroid treatment, and published papers on blood disorders . Carl was drafted into the Austrian army and served during World War I. Life was difficult after the war, and Gerty developed dry eye caused by severe malnutrition due to food shortages. These problems, in conjunction with
1196-513: The human body, which may have contributed to her illness. She struggled for ten years with the illness while continuing her scientific work; only in the final months did she let up. In 1957, she died in her home. Gerty was cremated and her ashes scattered. Later, her son erected a cenotaph for Gerty and Carl Cori in Bellefontaine Cemetery in St. Louis, Missouri. She was survived by her husband and their only child, Tom Cori, who married
1242-649: The increasing anti-Semitism, contributed to the Coris' decision to leave Europe. In 1922, the Coris both immigrated to the United States (Gerty six months after Carl because of difficulty in obtaining a position) to pursue medical research at what later became the Roswell Park Cancer Institute in Buffalo, New York . In 1928, they became naturalized citizens . The director of the institute threatened to dismiss Gerty if she did not cease collaborative research with her husband. She continued to work with Carl and
1288-464: The medical staff of the school's two teaching hospitals – Barnes-Jewish Hospital and St. Louis Children's Hospital . They also provide inpatient and outpatient care at the St. Louis Veteran's Administration Hospital , hospitals of the BJC HealthCare system, and 35 other office locations throughout the greater St. Louis region. Medical classes were first held at Washington University in 1891 after
1334-521: The organization and quality of the Medical Department. Following a trend in medical education across the country, research and the creation of new knowledge became a stated objective in a 1906 course catalog for the Medical Department. For Brookings and the University, incorporating the Medical Department into a separate School of Medicine seemed to be the next logical step. This process began in 1914 when facilities were moved to their current location in St. Louis's Central West End neighborhood in 1914, and
1380-536: The outdoors and mountain climbing. Gerty and Carl had both entered medical school at 18 and both graduated in 1920. They married that same year. Gerty converted to Catholic Christianity , enabling her and Carl to marry in the Catholic Church. They moved to Vienna , capital of Austria, where Gerty spent the next two years at the Carolinen Children's Hospital, and her husband worked in a laboratory. While at
1426-492: The part played by the hormone of the anterior pituitary lobe in the metabolism of sugar". Their work helped clarify the mechanisms of carbohydrate metabolism, advancing understanding of the reversible conversion of sugars and starch, which proved crucial to the development of diabetic treatments. In 1947, Gerty Cori became the third woman—and the first American woman—to win a Nobel Prize in science. Previously, Marie Curie had received two, and Irène Joliot-Curie won one. Cori
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1472-431: The research laboratory until the end of her life. She received recognition for her achievements through multiple awards and honors. Gerty Cori was born Gerty Theresa Radnitz into a Jewish family in Prague, Bohemia , Austria-Hungary (modern Czech Republic ) in 1896. Her father, Otto Radnitz, was a chemist who became manager of sugar refineries after inventing a successful method for refining sugar. Her mother, Martha,
1518-415: The sole author. In 1929, they proposed the theoretical cycle that later won them the Nobel Prize, the Cori cycle . The cycle describes how the human body uses chemical reactions to break some carbohydrates such as glycogen in muscle tissue into lactic acid , while synthesizing others. The Coris left Roswell in 1931 after publishing their work on carbohydrate metabolism. Several universities offered Carl
1564-589: The teaching hospitals affiliated with the School of Medicine and are also located within the medical complex. Many of the buildings are connected via sky bridges and corridors. As of 2008, the School of Medicine occupies over 4,500,000 square feet (420,000 m ) in the complex. Olin Residence Hall, named for Spencer T. Olin , provides residential services for 200 medical and graduate students. Washington University and BJC HealthCare have taken on numerous joint venture projects since their original collaboration in
1610-508: The understanding and treatment of diabetes and other metabolic diseases. In 1947, the couple was awarded a half share of the Nobel Prize in Physiology or Medicine." The US Department of Energy named the NERSC -8 supercomputer installed at Berkeley Lab in 2015/2016 after Cori. In November 2016, NERSC 's Cori ranked 5th on the TOP500 list of world's most powerful high-performance computers. Gerty
1656-890: Was a Bohemian-Austrian and American biochemist who in 1947 was the third woman to win a Nobel Prize in science, and the first woman to be awarded the Nobel Prize in Physiology or Medicine , for her role in the "discovery of the course of the catalytic conversion of glycogen ". Cori was born in Prague , the capital of Bohemia within the Austro-Hungarian Empire. Growing up at a time when women were marginalized and allowed few educational opportunities, she gained admittance to medical school, where she met her future husband Carl Ferdinand Cori in an anatomy class. Upon their graduation in 1920, they married. Because of deteriorating conditions in Europe,
1702-536: Was a superb experimentalist as well as a perfectionist. The twenty-five foot square laboratory shared by Cori and her husband at Washington University was deemed a National Historic Landmark by the American Chemical Society in 2004. Six scientists mentored by Cori and her husband went on to win Nobel Prizes, which is only surpassed by the number mentored by British physicist J.J. Thomson . In 1949, she
1748-421: Was appointed associate professor of Research Biological Chemistry and Pharmacology. Months before she won the Nobel Prize, she was promoted to full professor, a post she held until her death in 1957. While working at Washington University, they discovered an intermediate compound in frog muscles that enabled the breakdown of glycogen, called glucose 1-phosphate , later known as the Cori ester . They established
1794-676: Was awarded the Iota Sigma Pi National Honorary Member for her significant contribution. The crater Cori on the Moon is named after her, as is the Cori crater on Venus. She shares a star with her husband on the St. Louis Walk of Fame . She was inducted into the National Women's Hall of Fame in 1998. Cori was honored by a US Postal Service stamp in April 2008. The 41-cent stamp
1840-421: Was completed in 1918 with the official naming of the School of Medicine. Of note, the first female faculty member is believed to have been biochemist and physiologist Ethel Ronzoni Bishop , who became an assistant professor in 1923. The Medical School began its escalation from regional renown in the 1940s, a decade when two groups of faculty members received Nobel Prizes, in 1944 and 1947. In 1947, Gerty Cori ,
1886-407: Was discouraged from doing so by the institutions that employed him. Together with her husband Carl and Argentine physiologist Bernardo Houssay , Gerty Cori received the Nobel Prize in 1947 for the discovery of the mechanism by which glycogen —a starch made from glucose —is broken down in muscle tissue into lactic acid and then resynthesized in the body and stored as a source of energy (known as
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1932-456: Was nevertheless kept on at the institute. She was constantly in the laboratory, where we two worked alone. We washed our own laboratory glassware and she would occasionally complain bitterly to Carl about not having any dishwashing help. When she tired, she would retire to her small office adjoining the laboratory, where she would rest on a small cot. She smoked incessantly and dropped cigarette ashes constantly ... —Joseph Larner Although
1978-416: Was only offered a position as a research associate at a salary one tenth of that received by her husband; she was warned that she might impede her husband's career. Washington University's Chancellor, Arthur Compton , made a special allowance for Gerty to hold a position there, ignoring the university's nepotism rules. Gerty waited thirteen years before she attained the same rank as her husband. In 1943, she
2024-851: Was recognized in 2023 by U.S. News & World Report as one of the best hospitals in the entire United States, with the university ranked #5 in the nation among medical schools for research. According to Doximity's 2024-2025 Residency Rankings, Washington University School of Medicine held top rankings in multiple specialties including #3 in Orthopedic Surgery , #5 in General Surgery , #3 in Radiology , #9 in OB-GYN , #7 in Neurology , and #10 in Neurosurgery . 19 Nobel laureates have been associated with
2070-462: Was reported by the Associated Press to have a printing error in the chemical formula for glucose-1-phosphate (Cori ester) , but was distributed despite the error. Her description reads: "Biochemist Gerty Cori (1896–1957), in collaboration with her husband, Carl, made important discoveries—including a new derivative of glucose—that elucidated the steps of carbohydrate metabolism and contributed to
2116-529: Was the first woman to be awarded the Nobel Prize in Physiology or Medicine . She was elected a Fellow of the American Academy of Arts and Sciences in 1953. Cori was the fourth woman elected to the National Academy of Sciences . She was appointed by President Harry S. Truman as board member of the National Science Foundation , a position she held until her death. Gerty was a member of
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