The Notebook is a 2004 American romantic drama film directed by Nick Cassavetes , from a screenplay by Jeremy Leven and Jan Sardi , and based on the 1996 novel of the same name by Nicholas Sparks . The film stars Ryan Gosling and Rachel McAdams as a young couple who fall in love in the 1940s. Their story is read from a notebook in the present day by an elderly man, telling the tale to a fellow nursing home resident.
99-554: The Notebook had its world premiere at the Seattle International Film Festival on May 20, 2004, and was theatrically released in the United States on June 25, 2004. Despite generally mixed reviews from critics, Gosling and McAdams were singled out for praise for their performances. The film was a sleeper hit at the box office, grossing $ 117 million against its $ 29 million budget, and has become
198-429: A brain biopsy to become final, but this is rarely recommended (though it can be performed at autopsy ). In those who are getting older, general screening for cognitive impairment using cognitive testing or early diagnosis of dementia has not been shown to improve outcomes. However, screening exams are useful in 65+ persons with memory complaints. Normally, symptoms must be present for at least six months to support
297-407: A continuum over several stages. Dementia ultimately has a significant effect on the individual, their caregivers , and their social relationships in general. A diagnosis of dementia requires the observation of a change from a person's usual mental functioning and a greater cognitive decline than might be caused by the normal aging process. Several diseases and injuries to the brain, such as
396-482: A cult classic in the years since its release. On November 11, 2012, an extended version premiered on ABC Family with deleted scenes added back into the original storyline. The film earned several accolades, including the MTV Movie Award for Best Kiss for Gosling and McAdams at the 2005 MTV Movie Awards . At the 11th Screen Actors Guild Awards , James Garner was nominated for Outstanding Performance by
495-608: A dialect coach to learn the Southern accent . Bradley Cooper was considered for Lon Hammond, while the studio pushed for Cole Hauser ; but James Mardsen was eventually cast. The Notebook was filmed mostly on location in South Carolina , as well as the wintery battlefield just outside Montreal . Production offices for the film were set up at the old Charleston Naval Shipyard in North Charleston . Much of
594-433: A stroke , can give rise to dementia. However, the most common cause is Alzheimer's disease , a neurodegenerative disorder. The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) , has re-described dementia as a mild or major neurocognitive disorder with varying degrees of severity and many causative subtypes. The International Classification of Diseases ( ICD-11 ) also classifies dementia as
693-490: A 2024 new study published in Nature Mental Health. Researchers found that loneliness was associated with a 31% higher likelihood of developing any form of dementia, and it also raised the risk of cognitive impairment by 15%. Symptoms are similar across dementia types and it is difficult to diagnose by symptoms alone. Diagnosis may be aided by brain scanning techniques. In many cases, the diagnosis requires
792-533: A Male Actor in a Supporting Role and Gena Rowlands won Best Supporting Actress – Drama at the 9th Golden Satellite Awards . At a modern-day nursing home , the elderly Duke reads a romantic story from a notebook to a female patient: In 1940, at a carnival in Seabrook Island, South Carolina , lumber mill worker Noah Calhoun sees 17-year-old heiress Allison "Allie" Hamilton, there for the summer. He pursues her, coerces her into dating him, and they begin
891-425: A comparable age without dementia; they are three times more likely to have urinary incontinence and four times more likely to have fecal incontinence . The course of dementia is often described in four stages – pre-dementia, early, middle, and late, that show a pattern of progressive cognitive and functional impairment. More detailed descriptions can be arrived at by the use of numeric scales. These scales include
990-431: A continuous rate over several stages, and they vary across the dementia subtypes. Most types of dementia are slowly progressive with some deterioration of the brain well established before signs of the disorder become apparent. There are often other conditions present, such as high blood pressure or diabetes , and there can sometimes be as many as four of these comorbidities. Signs of dementia include getting lost in
1089-401: A diagnosis. Cognitive dysfunction of shorter duration is called delirium . Delirium can be easily confused with dementia due to similar symptoms. Delirium is characterized by a sudden onset, fluctuating course, a short duration (often lasting from hours to weeks), and is primarily related to a somatic (or medical) disturbance. In comparison, dementia has typically a long, slow onset (except in
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#17327911088871188-476: A familiar neighborhood, using unusual words to refer to familiar objects, forgetting the name of a close family member or friend, forgetting old memories, and being unable to complete tasks independently. People with developing dementia often fall behind on bill payments; specifically mortgage and credit cards, and a crashing credit score can be an early indicator of the disease. People with dementia are more likely to have problems with incontinence than those of
1287-441: A general decline in cognitive abilities that affects a person's ability to perform everyday activities . This typically involves problems with memory , thinking , behavior , and motor control . Aside from memory impairment and a disruption in thought patterns , the most common symptoms of dementia include emotional problems, difficulties with language , and decreased motivation . The symptoms may be described as occurring in
1386-630: A hot stove; or may not realize that they need to use the bathroom and become incontinent . They may not want to get out of bed, or may need assistance doing so. Commonly, the person no longer recognizes familiar faces. They may have significant changes in sleeping habits or have trouble sleeping at all. Changes in eating frequently occur. Cognitive awareness is needed for eating and swallowing and progressive cognitive decline results in eating and swallowing difficulties . This can cause food to be refused, or choked on, and help with feeding will often be required. For ease of feeding, food may be liquidized into
1485-566: A late stage from HIV infection , and mostly affects younger people. The essential features of HIV-associated dementia are disabling cognitive impairment accompanied by motor dysfunction, speech problems and behavioral change. Cognitive impairment is characterised by mental slowness, trouble with memory and poor concentration . Motor symptoms include a loss of fine motor control leading to clumsiness, poor balance and tremors. Behavioral changes may include apathy , lethargy and diminished emotional responses and spontaneity. Histopathologically , it
1584-446: A loss of appetite leading to poor nutrition. It is suggested that this dysfunction may come about because the olfactory epithelium is exposed to the environment, and the lack of blood–brain barrier protection allows toxic elements to enter and cause damage to the chemosensory networks. Pre-dementia states considered as prodromal are mild cognitive impairment (MCI) and mild behavioral impairment (MBI). Signs and symptoms at
1683-443: A lower-class young man in town and still wonders how changed their lives would have been if she had chosen differently. She gives Allie Noah's letters, suggesting she choose wisely. Noah and Allie argue and he tells her to decide what she wants, not what everyone else does. She drives back to her hotel, sobbing and confused, and confesses her infidelity to Lon. He still wants her back, but she follows her heart and returns to Noah. In
1782-517: A matter of course where dementia is suspected. Many other medical and neurological conditions include dementia only late in the illness. For example, a proportion of patients with Parkinson's disease develop dementia, though widely varying figures are quoted for this proportion. When dementia occurs in Parkinson's disease, the underlying cause may be dementia with Lewy bodies or Alzheimer's disease , or both. Cognitive impairment also occurs in
1881-400: A mixture of old age, high blood pressure, and damage to blood vessels in the brain. Diagnosis of mixed dementia can be difficult, as often only one type will predominate. This makes the treatment of people with mixed dementia uncommon, with many people missing out on potentially helpful treatments. Mixed dementia can mean that symptoms onset earlier, and worsen more quickly since more parts of
1980-735: A neurocognitive disorder (NCD) with many forms or subclasses. Dementia is listed as an acquired brain syndrome, marked by a decline in cognitive function, and is contrasted with neurodevelopmental disorders . It is also described as a spectrum of disorders with causative subtypes of dementia based on a known disorder, such as Parkinson's disease for Parkinson's disease dementia , Huntington's disease for Huntington's disease dementia, vascular disease for vascular dementia , HIV infection causing HIV dementia , frontotemporal lobar degeneration for frontotemporal dementia , Lewy body disease for dementia with Lewy bodies , and prion diseases . Subtypes of neurodegenerative dementias may also be based on
2079-684: A producer alongside Kevin McCollum and Kurt Deutsch. The production was initially slated for fall 2020 but was delayed by the COVID-19 pandemic . Michaelson and Brunstetter used the additional time to hold online previews and tweak their work. The musical opened on September 6, 2022, at the Chicago Shakespeare Theatre and received generally positive reviews. Stephen Oxman of the Chicago Sun-Times said, "I simply
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#17327911088872178-425: A result of excessive use of alcohol particularly as a substance abuse disorder. Different factors can be involved in this development including thiamine deficiency and age vulnerability. A degree of brain damage is seen in more than 70% of those with alcohol use disorder . Brain regions affected are similar to those that are affected by aging, and also by Alzheimer's disease. Regions showing loss of volume include
2277-507: A romance. When Allie meets Noah's father Frank Calhoun, he immediately likes her. However, when Noah meets her parents, they disapprove. That night, Noah takes Allie to the abandoned Windsor Plantation, telling her he will buy and restore it. As the sun sets, they start to make love for the first time. Noah's friend Fin interrupts to warn them Allie's parents sent the police out looking for her. When Allie and Noah return to her parents' mansion, Allie's mother Anne makes it clear they are against
2376-524: A stranger touching her, so is sedated. Duke has a heart attack and is treated in the nursing home while Allie is taken to the dementia ward. Upon recovering and despite not being permitted, Duke sneaks into Allie's room in the night. She instantly recognizes him, they kiss, and fall asleep holding hands. They are found in the morning, having died peacefully in each other's arms. The film rights to Nicholas Sparks' novel were acquired by New Line Cinema in 1996, represented by producer Mark Johnson . Jeremy Leven
2475-1025: A thick purée. They may also struggle to walk, particularly among those with Alzheimer's disease . In some cases, terminal lucidity , a form of paradoxical lucidity , occurs immediately before death; in this phenomenon, there is an unexpected recovery of mental clarity. Many causes of dementia are neurodegenerative , and protein misfolding is a cardinal feature of these. Other common causes include vascular dementia, dementia with Lewy bodies, frontotemporal dementia, and mixed dementia (commonly Alzheimer's disease and vascular dementia). Less common causes include normal pressure hydrocephalus , Parkinson's disease dementia , syphilis , HIV , and Creutzfeldt–Jakob disease . Alzheimer's disease accounts for 60–70% of cases of dementia worldwide. The most common symptoms of Alzheimer's disease are short-term memory loss and word-finding difficulties . Trouble with visuospatial functioning (getting lost often), reasoning, judgment and insight fail. Insight refers to whether or not
2574-421: A young lawyer who comes from old Southern money . After a few years, they become engaged, to Allie's parents' delight. Noah returns from the war and finds his father has sold their home so Noah can buy The Windsor Plantation. He believes that if he restores it, Allie will return to him. Once it's completed, Noah resists selling it. As Allie tries on her wedding dress, she sees a newspaper photo of Noah in front of
2673-476: Is a surprisingly good film that manages to succeed where many other " chick flick " like romances fail." Stephen Holden of The New York Times gave the film a positive review, stating that "the scenes between the young lovers confronting adult authority have the same seething tension and lurking hysteria that the young Warren Beatty and Natalie Wood brought more than 40 years ago to their roles in Splendor in
2772-414: Is a type of dementia that primarily affects people in their 80s or 90s and in which TDP-43 protein deposits in the limbic portion of the brain. Hereditary disorders that can also cause dementia include: some metabolic disorders such as lysosomal storage disorders , leukodystrophies , and spinocerebellar ataxias . Persistent loneliness may significantly increase the risk of dementia according to
2871-477: Is about to fall asleep or wake up. Other prominent symptoms include problems with planning (executive function) and difficulty with visual-spatial function, and disruption in autonomic bodily functions . Abnormal sleep behaviors may begin before cognitive decline is observed and are a core feature of DLB. RBD is diagnosed either by sleep study recording or, when sleep studies cannot be performed, by medical history and validated questionnaires. Parkinson's disease
2970-493: Is associated with Lewy body dementia that often progresses to Parkinson's disease dementia following a period of dementia-free Parkinson's disease. Frontotemporal dementias (FTDs) are characterized by drastic personality changes and language difficulties. In all FTDs, the person has a relatively early social withdrawal and early lack of insight. Memory problems are not a main feature. There are six main types of FTD. The first has major symptoms in personality and behavior. This
3069-518: Is called behavioral variant FTD (bv-FTD) and is the most common. The hallmark feature of bv-FTD is impulsive behavior , and this can be detected in pre-dementia states. In bv-FTD, the person shows a change in personal hygiene, becomes rigid in their thinking, and rarely acknowledges problems; they are socially withdrawn, and often have a drastic increase in appetite. They may become socially inappropriate. For example, they may make inappropriate sexual comments, or may begin using pornography openly. One of
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3168-448: Is called non-fluent agrammatic variant primary progressive aphasia (NFA-PPA). This is mainly a problem with producing speech. They have trouble finding the right words, but mostly they have a difficulty coordinating the muscles they need to speak. Eventually, someone with NFA-PPA only uses one-syllable words or may become totally mute. A frontotemporal dementia associated with amyotrophic lateral sclerosis (ALS) known as (FTD-ALS) includes
3267-428: Is due to the fact that, historically, brain tissue from patients with the disease could only be studied after the person's death. Brain scans can now help diagnose and distinguish between different kinds of dementia and show severity. These include magnetic resonance imaging (MRI), computerized tomography (CT), and positron emission tomography (PET). However, it is known that one of the first aspects of Alzheimer's disease
3366-419: Is ideal to ensure that advance care planning has occurred to protect the person's wishes. Advance directives exist that are specific to sufferers of dementia; these can be particularly helpful in addressing the decisions related to feeding which come with the progression of the illness. Mild cognitive impairment has been relisted in both DSM-5 and ICD-11 as "mild neurocognitive disorders", i.e. milder forms of
3465-494: Is identified by the infiltration of monocytes and macrophages into the central nervous system (CNS), gliosis , pallor of myelin sheaths , abnormalities of dendritic processes and neuronal loss. Creutzfeldt–Jakob disease is a rapidly progressive prion disease that typically causes dementia that worsens over weeks to months. Prions are disease-causing pathogens created from abnormal proteins. Alcohol-related dementia, also called alcohol-related brain damage, occurs as
3564-403: Is overproduction of amyloid . Extracellular senile plaques (SPs), consisting of beta-amyloid (Aβ) peptides, and intracellular neurofibrillary tangles (NFTs) that are formed by hyperphosphorylated tau proteins, are two well-established pathological hallmarks of AD. Amyloid causes inflammation around the senile plaques of the brain , and too much buildup of this inflammation leads to changes in
3663-627: Is particularly convincing as a young man who charms his way past a girl's strongest defenses." About the film, she added: "Audiences craving big, gooey over-the-top romance have their must-see summer movie in The Notebook ." William Arnold of the Seattle Post-Intelligencer praised the performance of McAdams but criticized the performance of Gosling, stating that he "just doesn't have the kind of star power or chemistry with McAdams to anchor this kind of minor-league Gone with
3762-401: Is the mini–mental state examination . Although the greatest risk factor for developing dementia is aging, dementia is not a normal part of the aging process; many people aged 90 and above show no signs of dementia. Several risk factors for dementia, such as smoking and obesity , are preventable by lifestyle changes. Screening the general older population for the disorder is not seen to affect
3861-410: Is the final stage. Pre-dementia includes pre-clinical and prodromal stages. The latter stage includes mild cognitive impairment (MCI), delirium-onset, and psychiatric-onset presentations. Sensory dysfunction is claimed for the pre-clinical stage, which may precede the first clinical signs of dementia by up to ten years. Most notably the sense of smell is lost, associated with depression and
3960-579: Is unsuccessful, so she asks Fin to tell him she loves him. Noah rushes to Allie's when he hears but is too late. Noah writes Allie every day for a year, but Allie's mother intercepts the letters. When all 365 go unanswered, he stops writing to move on. He and Fin enlist and fight in the Battle of the Bulge where Fin is killed. Allie nurses wounded soldiers in a hospital, meeting Captain Lon Hammond Jr.,
4059-679: The Ashley River and made furniture. When James Garner was approached for the role of the older Noah, he asked his agent if the script was for a television film, until he read it again and realized it had a universal appeal. A nationwide search was conducted to find the right actress to play Allie. Actresses who auditioned or considered for the role included Jessica Biel , Britney Spears , Jaime King , Jane McGregor , Jennifer Lawrence , Kate Beckinsale , Kate Bosworth , Amy Adams , Mandy Moore , Scarlett Johansson , Claire Danes , Jennifer Love Hewitt , Ashley Judd , and Reese Witherspoon , with
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4158-640: The Cognitive Abilities Screening Instrument (CASI), the Trail-making test , and the clock drawing test . The MoCA ( Montreal Cognitive Assessment ) is a reliable screening test and is available online for free in 35 different languages. The MoCA has also been shown somewhat better at detecting mild cognitive impairment than the MMSE. People with hearing loss , which commonly occurs alongside dementia, score worse in
4257-665: The blood supply to the brain , typically involving a series of mini-strokes . The symptoms of this dementia depend on where in the brain the strokes occurred and whether the blood vessels affected were large or small. Repeated injury can cause progressive dementia over time, while a single injury located in an area critical for cognition such as the hippocampus, or thalamus, can lead to sudden cognitive decline. Elements of vascular dementia may be present in all other forms of dementia. Brain scans may show evidence of multiple strokes of different sizes in various locations. People with vascular dementia tend to have risk factors for disease of
4356-430: The mini mental state examination (MMSE) is the best studied and most commonly used. The MMSE is a useful tool for helping to diagnose dementia if the results are interpreted along with an assessment of a person's personality, their ability to perform activities of daily living, and their behaviour. Other cognitive tests include the abbreviated mental test score (AMTS), the, "modified mini–mental state examination" (3MS),
4455-546: The Ferris Wheel because he wants a date with Allie made the list of Total Film 's 50 Most Romantic Movie Moments of All Time. The kiss in the rain was ranked No. 4 in Total Film 's 50 Best Movie Kisses list. The Notebook was released on VHS and DVD on February 8, 2005, and Blu-ray on May 4, 2010. By February 2010, the film had sold over 11 million copies on DVD. In February 2019, subscribers to
4554-705: The Global Deterioration Scale for Assessment of Primary Degenerative Dementia (GDS or Reisberg Scale), the Functional Assessment Staging Test (FAST), and the Clinical Dementia Rating (CDR). Using the GDS, which more accurately identifies each stage of the disease progression, a more detailed course is described in seven stages – two of which are broken down further into five and six degrees. Stage 7(f)
4653-455: The Grass ." Ann Hornaday of The Washington Post also gave the film a positive review, she also praised the performances of Gosling and McAdams, stating: "Never mind that McAdams and Gosling don't for a minute call to mind 1940s America; they're both suitably attractive and appealing. Gosling, who delivered a searing and largely unseen screen debut performance in the 2001 drama The Believer ,
4752-514: The MoCA test, which could lead to a false diagnosis of dementia. Researchers have developed an adapted version of the MoCA test, which is accurate and reliable and avoids the need for people to listen and respond to questions. The AD-8 – a screening questionnaire used to assess changes in function related to cognitive decline – is potentially useful, but is not diagnostic, is variable, and has risk of bias. An integrated cognitive assessment ( CognICA )
4851-608: The Neuropsychiatric Inventory or the Geriatric Depression Scale . Physicians used to think that people with memory complaints had depression and not dementia (because they thought that those with dementia are generally unaware of their memory problems). However, researchers have realized that many older people with memory complaints in fact have mild cognitive impairment the earliest stage of dementia. Depression should always remain high on
4950-475: The Parkinson-plus syndromes of progressive supranuclear palsy and corticobasal degeneration (and the same underlying pathology may cause the clinical syndromes of frontotemporal lobar degeneration ). Although the acute porphyrias may cause episodes of confusion and psychiatric disturbance, dementia is a rare feature of these rare diseases. Limbic-predominant age-related TDP-43 encephalopathy (LATE)
5049-466: The UK version of Netflix reported that the version of the film on the streaming service had an alternate ending, which substituted a more light-hearted conclusion than the emotional end of the original release. Netflix responded that this alternate version of the film had been supplied to them in error, and soon replaced it with the original version. On August 11, 2015, it was reported that a television series
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#17327911088875148-463: The United States and $ 34.6 million in other countries. It is the 15th highest-grossing romantic drama film of all time. According to review aggregator Rotten Tomatoes , 53% of 179 critics gave the film a positive review, with an average rating of 5.7/10. The website's critics consensus reads, "It's hard not to admire its unabashed sentimentality, but The Notebook is too clumsily manipulative to rise above its melodramatic clichés." Metacritic assigned
5247-492: The Wikimedia System Administrators, please include the details below. Request from 172.68.168.236 via cp1112 cp1112, Varnish XID 974631752 Upstream caches: cp1112 int Error: 429, Too Many Requests at Thu, 28 Nov 2024 10:51:48 GMT Dementia This is an accepted version of this page Dementia is a syndrome associated with many neurodegenerative diseases , characterized by
5346-477: The Wind ." He also added about the film that it "doesn't completely work on its own terms, mainly because its romantic casting just doesn't spark: It doesn't make us fall in love with its lovers." Wesley Morris of The Boston Globe gave the film two-and-a-half stars, praising the performances of its cast members, writing about McAdams that "she's soulfully committed to the suds in the story and fiercely attentive to
5445-404: The blood vessels , such as tobacco use , high blood pressure , atrial fibrillation , high cholesterol , diabetes , or other signs of vascular disease such as a previous heart attack or angina . The prodromal symptoms of dementia with Lewy bodies (DLB) include mild cognitive impairment , and delirium onset. The symptoms of DLB are more frequent, more severe, and earlier presenting than in
5544-437: The brain that cannot be controlled, leading to the symptoms of Alzheimer's. Several articles have been published on a possible relationship (as an either primary cause or exacerbation of Alzheimer's disease) between general anesthesia and Alzheimer's in specifically the elderly . Vascular dementia accounts for at least 20% of dementia cases, making it the second most common type. It is caused by disease or injury affecting
5643-443: The brain will be affected. Chronic inflammatory conditions that may affect the brain and cognition include Behçet's disease , multiple sclerosis , sarcoidosis , Sjögren's syndrome , lupus , celiac disease , and non-celiac gluten sensitivity . These types of dementias can rapidly progress, but usually have a good response to early treatment. This consists of immunomodulators or steroid administration, or in certain cases,
5742-405: The cases of a stroke or trauma), slow decline of mental functioning, as well as a longer trajectory (from months to years). Some mental illnesses , including depression and psychosis , may produce symptoms that must be differentiated from both delirium and dementia. These are differently diagnosed as pseudodementias , and any dementia evaluation needs to include a depression screening such as
5841-420: The choice narrowed down to Britney Spears and Rachel McAdams with McAdams winning the role. On casting her, Cassavetes said: "When Rachel McAdams came in and read, it was apparent that she was the one. She and Ryan had great chemistry between them." She commented: "I thought it would be a dream to be able to do it. I read the script and went into the audition just two days later. It was a good way to do it because I
5940-891: The elimination of the causative agent. A 2019 review found no association between celiac disease and dementia overall but a potential association with vascular dementia. A 2018 review found a link between celiac disease or non-celiac gluten sensitivity and cognitive impairment and that celiac disease may be associated with Alzheimer's disease, vascular dementia, and frontotemporal dementia . A strict gluten-free diet started early may protect against dementia associated with gluten-related disorders . Cases of easily reversible dementia include hypothyroidism , vitamin B 12 deficiency , Lyme disease , and neurosyphilis . For Lyme disease and neurosyphilis, testing should be done if risk factors are present. Because risk factors are often difficult to determine, testing for neurosyphilis and Lyme disease, as well as other mentioned factors, may be undertaken as
6039-417: The end of the journal in the notebook, Allie asks Noah what happened at the end of the story and Noah prompts her that she knows. She briefly recognizes him and remembers. Allie asks how long they have before she forgets again and Duke tells her possibly five minutes. They dance to their song, " I'll Be Seeing You ", and she asks about their kids. However, Allie's dementia quickly relapses and she panics to see
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#17327911088876138-479: The film a mixed review, he however, praised the performances, writing that "already one of the most intriguing young thesps, Gosling extends his range to pure romance without sacrificing a bit of his naturally subversive qualities, and even seems comfortable looking beautiful in a manly American way. The head-turner is McAdams, doing such a different perf from her top bitch in Mean Girls that it's hard to tell it's
6237-418: The film a mixed review, stating: "Amid the sticky-sweet swamp of Jeremy Leven's script, Rowlands and Garner emerge spotless and beatific, lending a magnanimous credibility to their scenes together. These two old pros slice cleanly through the thicket of sap-weeping dialogue and contrivance, locating the terror and desolation wrought by the cruel betrayals of a failing mind." Robert Koehler of Variety also gave
6336-545: The film a weighted average score of 53 out of 100, based on 34 critics, indicating "mixed or average reviews". Audiences polled by CinemaScore gave the film an average grade of "A" on an A+ to F scale. Roger Ebert of the Chicago Sun-Times praised the film, awarding it three-and-a-half stars out of four, calling the photography "striking in its rich, saturated effects" and stating that the "actors are blessed by good material." Peter Lowry of Film Threat gave
6435-529: The film as Sarah Lawrence College , but the campus that is seen is the College of Charleston . The soundtrack to The Notebook was released on June 8, 2004. The film was released on June 25, 2004, in the United States and Canada and grossed $ 13.5 million from 2,303 theaters in its opening weekend, ranking number 4 at the box office. The film grossed a total of $ 115.6 million worldwide, $ 81 million in Canada and
6534-505: The film the third Top Romantic Movie. The Notebook appeared on Moviefone 's list of the 25 Best Romance Movies of All Time. Marie Claire also put the film on its list of the 12 Most Romantic Movie Scenes of All Time. In 2011, The Notebook was named the best chick-flick during ABC News and People 's television special Best in Film: The Greatest Movies of Our Time . The scene where Noah climbs
6633-409: The film three-and-a-half stars out of five; praising the performances of both Gosling and McAdams, he wrote: "Gosling and especially McAdams give all-star performances, doing just enough to hand the reins over to the pros, who take what's left of the film and finish the audience off with some touching scenes that don't leave a dry eye in the house." About the film itself, he added: "Overall, The Notebook
6732-595: The film's plot takes place in and around Seabrook Island , an actual town which is one of the South Carolina " sea island " localities, located 20 miles (32 km) southwest of Charleston. None of the filming took place in the Seabrook area, however, and instead utilized the surrounding areas. Specifically, the house that Noah is seen fixing up is a private residence at Wadmalaw Island , another locality situated 10 miles (16 km) closer to Charleston. The house
6831-520: The first signs. As dementia progresses, initial symptoms generally worsen. The rate of decline is different for each person. MMSE scores between 6 and 17 signal moderate dementia. For example, people with moderate Alzheimer's dementia lose almost all new information. People with dementia may be severely impaired in solving problems, and their social judgment is often impaired. They cannot usually function outside their own home, and generally should not be left alone. They may be able to do simple chores around
6930-457: The frontal, temporal, and parietal lobes, as well as the cerebellum, thalamus, and hippocampus. This loss can be more notable, with greater cognitive impairments seen in those aged 65 years and older. More than one type of dementia, known as mixed dementia, may exist together in about 10% of dementia cases. The most common type of mixed dementia is Alzheimer's disease and vascular dementia. This particular type of mixed dementia's main onsets are
7029-539: The house but not much else, and begin to require assistance for personal care and hygiene beyond simple reminders. A lack of insight into having the condition will become evident. People with late-stage dementia typically turn increasingly inward and need assistance with most or all of their personal care. People with dementia in the late stages usually need 24-hour supervision to ensure their personal safety, and meeting of basic needs. If left unsupervised, they may wander or fall; may not recognize common dangers such as
7128-734: The late 1960s causing Noah to leave for the Vietnam War rather than World War II . The production closed on October 30, 2022. In August 2023, it was announced that the show would open on Broadway in the spring of 2024 at the Gerald Schoenfeld Theatre . The show opened on March 14, with a cast that included Maryann Plunkett as Older Allie, Dorian Harewood as Older Noah, Joy Woods as Middle Allie, Ryan Vasquez as Middle Noah, Jordan Tyson as Younger Allie, and John Cardoza as Younger Noah. Seattle International Film Festival Too Many Requests If you report this error to
7227-418: The list of possibilities, however, for an elderly person with memory trouble. Changes in thinking, hearing and vision are associated with normal ageing and can cause problems when diagnosing dementia due to the similarities. Given the challenging nature of predicting the onset of dementia and making a dementia diagnosis clinical decision making aids underpinned by machine learning and artificial intelligence have
7326-415: The major neurocognitive disorder (dementia) subtypes. Kynurenine is a metabolite of tryptophan that regulates microbiome signaling, immune cell response, and neuronal excitation. A disruption in the kynurenine pathway may be associated with the neuropsychiatric symptoms and cognitive prognosis in mild dementia. In the early stage of dementia, symptoms become noticeable to other people. In addition,
7425-399: The meaning of objects as well. For example, a drawing of a bird, dog, and an airplane in someone with FTD may all appear almost the same. In a classic test for this, a patient is shown a picture of a pyramid and below it a picture of both a palm tree and a pine tree. The person is asked to say which one goes best with the pyramid. In SV-PPA the person cannot answer that question. The other type
7524-410: The most common signs is apathy , or not caring about anything. Apathy, however, is a common symptom in many dementias. Two types of FTD feature aphasia (language problems) as the main symptom. One type is called semantic variant primary progressive aphasia (SV-PPA). The main feature of this is the loss of the meaning of words. It may begin with difficulty naming things. The person eventually may lose
7623-425: The neurocognitive deficits may sometimes show improvement with treatment of the causative medical condition. Diagnosis of dementia is usually based on history of the illness and cognitive testing with imaging . Blood tests may be taken to rule out other possible causes that may be reversible, such as hypothyroidism (an underactive thyroid), and to determine the dementia subtype. One commonly used cognitive test
7722-490: The other actors". He added about Gosling: "Gosling is adept at playing sociopaths and intense brooders, and there's reason to think, early on, that Noah might be similarly off, as when he threatens to drop from a Ferris wheel unless Allie agrees to go on a date with him." About the film, he wrote: "Considering the sunny, relatively pleasurable romantic business that precedes it, the elderly stuff seems dark, morbid, and forced upon us." Jessica Winter of The Village Voice gave
7821-461: The other dementia subtypes. Dementia with Lewy bodies has the primary symptoms of fluctuating cognition, alertness or attention; REM sleep behavior disorder (RBD); one or more of the main features of parkinsonism , not due to medication or stroke; and repeated visual hallucinations. The visual hallucinations in DLB are generally vivid hallucinations of people or animals and they often occur when someone
7920-417: The outcome. Dementia is currently the seventh leading cause of death worldwide and has 10 million new cases reported every year (approximately one every three seconds). There is no known cure for dementia. Acetylcholinesterase inhibitors such as donepezil are often used and may be beneficial in mild to moderate disorder, but the overall benefit may be minor. There are many measures that can improve
8019-441: The person realizes they have memory problems. The part of the brain most affected by Alzheimer's is the hippocampus . Other parts that show atrophy (shrinking) include the temporal and parietal lobes . Although this pattern of brain shrinkage suggests Alzheimer's, it is variable and a brain scan is insufficient for a diagnosis. Little is known about the events that occur during and that actually cause Alzheimer's disease. This
8118-468: The potential to enhance clinical practice. Various brief cognitive tests (5–15 minutes) have reasonable reliability to screen for dementia, but may be affected by factors such as age, education and ethnicity. Age and education have a significant influence on the diagnosis of dementia. For example, Individuals with lower education are more likely to be diagnosed with dementia than their educated counterparts. While many tests have been studied, presently
8217-406: The present, the elderly woman is revealed to be Allie, now suffering from dementia . Duke is actually Noah, who uses a pseudonym to not startle her in her disoriented state. The journal he reads to her she wrote during the early stages of her illness, detailing their romance and life together so he could help her come back to him. Noah has kept the promise to read it to her almost daily. Almost at
8316-599: The prodromal stage may be subtle, and the early signs often become apparent only in hindsight. Of those diagnosed with MCI, 70% later progress to dementia. In mild cognitive impairment, changes in the person's brain have been happening for a long time, but the symptoms are just beginning to appear. These problems, however, are not severe enough to affect daily function. If and when they do, the diagnosis becomes dementia. The person may have some memory problems and trouble finding words, but they can solve everyday problems and competently handle their life affairs. During this stage, it
8415-884: The quality of life of a person with dementia and their caregivers. Cognitive and behavioral interventions may be appropriate for treating the associated symptoms of depression. The signs and symptoms of dementia are termed as the neuropsychiatric symptoms —also known as the behavioral and psychological symptoms—of dementia. The behavioral symptoms can include agitation , restlessness, inappropriate behavior, sexual disinhibition, and verbal or physical aggression. These symptoms may result from impairments in cognitive inhibition . The psychological symptoms can include depression, hallucinations (most often visual), delusions, apathy, and anxiety. The most commonly affected areas of brain function include memory , language , attention , problem solving , and visuospatial function affecting perception and orientation. The symptoms progress at
8514-517: The relationship and forbid her from seeing him. Noah leaves and Allie follows, they go back and forth about Allie staying or Noah moving to New York. However, Noah suggests they wait out the summer and see if they will work out. Allie assumes Noah wants to break it off and they begin to argue, and Allie says she wants to break it off, but then instantly regrets it the moment Noah drives away. The next morning, Anne announces they will be returning to Charleston immediately. Allie seeks Noah to apologize but
8613-446: The renovated house and faints. Allie's feelings for Noah come rushing back, so she asks Lon to take a solo trip before the wedding. Returning to Seabrook, she finds Noah living in their dream house. They rekindle and consummate their relationship. Noah tells Allie about the 365 letters and they realize her mother kept them from her. Days later, Anne appears to warn Allie that Lon has come to Seabrook. She also reveals that she once loved
8712-403: The role. Gosling was initially surprised by this: "I read [the script] and I thought, 'He's crazy. I couldn't be more wrong for this movie.'" "It gave me an opportunity to play a character over a period of time – from 1940 to 1946 – that was quite profound and formative." To prepare for the part, Gosling temporarily moved to Charleston, South Carolina , prior to filming. During two months, he rowed
8811-465: The same actor. She skillfully carries much of the film's emotional weight with a free and easy manner." In June 2010, Entertainment Weekly included Allie and Noah in its list of the "100 Greatest Characters of the Last 20 Years." The periodical listed The Notebook in their 25 Sexiest Movies Ever. Us Weekly included the film in its list of the 30 Most Romantic Movies of All Time. Boston.com ranked
8910-534: The scenes set in Seabrook were filmed in the town of Mt. Pleasant , (a suburb of Charleston). Other locations included: Edisto Island , Cypress Gardens (in Moncks Corner, South Carolina ) with trained birds that were brought in from elsewhere. The nursing home scenes were filmed at Rice Hope Plantation , located in Georgetown County . The college depicted briefly in the film is identified in
9009-1010: The symptoms begin to interfere with daily activities, and will register a score on a mini–mental state examination (MMSE). MMSE scores are set at 24 to 30 for a normal cognitive rating and lower scores reflect severity of symptoms. The symptoms are dependent on the type of dementia. More complicated chores and tasks around the house or at work become more difficult. The person can usually still take care of themselves but may forget things like taking pills or doing laundry and may need prompting or reminders. The symptoms of early dementia usually include memory difficulty, but can also include some word-finding problems , and problems with executive functions of planning and organization. Managing finances may prove difficult. Other signs might be getting lost in new places, repeating things, and personality changes. In some types of dementia, such as dementia with Lewy bodies and frontotemporal dementia , personality changes and difficulty with organization and planning may be
9108-646: The symptoms of FTD (behavior, language and movement problems) co-occurring with amyotrophic lateral sclerosis (loss of motor neurons). Two FTD-related disorders are progressive supranuclear palsy (also classed as a Parkinson-plus syndrome), and corticobasal degeneration . These disorders are tau-associated. Huntington's disease is a neurodegenerative disease caused by mutations in a single gene HTT , that encodes for huntingtin protein. Symptoms include cognitive impairment and this usually declines further into dementia. The first main symptoms of Huntington's disease often include: HIV-associated dementia results as
9207-650: The underlying pathology of misfolded proteins, such as synucleinopathies and tauopathies . The coexistence of more than one type of dementia is known as mixed dementia . Many neurocognitive disorders may be caused by another medical condition or disorder, including brain tumours and subdural hematoma , endocrine disorders such as hypothyroidism and hypoglycemia , nutritional deficiencies including thiamine and niacin , infections, immune disorders, liver or kidney failure, metabolic disorders such as Kufs disease , some leukodystrophies , and neurological disorders such as epilepsy and multiple sclerosis . Some of
9306-581: Was hired to write the script, which caught the attention of director Steven Spielberg in 1998, who wished to film it with Tom Cruise as Noah Calhoun. Spielberg's commitment to other projects led to Jim Sheridan becoming attached to direct the following year. Filming was to start in 1999 but pushed back over rewrites. Sheridan eventually backed out by October 2000 to work on In America . Martin Campbell entered negotiations to direct in March 2001, before he
9405-400: Was in development by The CW . The series was to follow Noah and Allie's courtship following the events of the film, and in a post-WWII world. As of December 2023, no further news has been revealed. On January 3, 2019, Ingrid Michaelson announced she would be writing the music and lyrics for a musical adaption of The Notebook with a book by Bekah Brunstetter. Sparks will also be involved as
9504-399: Was not actually in a dilapidated state at the time and instead was made to look that way by special effects. Contrary to the suggestion in the film's dialogue, neither the house nor the Seabrook area was home to South Carolina Revolutionary hero Francis Marion , whose plantation was actually located northwest of Charleston . The Boone Hall Plantation served as Allie's summer house. Many of
9603-438: Was not expecting to fall in love with 'The Notebook,'... But I have." Adding, "It’s a significant leap in artistic quality over its sources, which it respects, while also providing a clear, resonant, and unique voice of its own." Jonathan Abarbanel of Theater Mania noted what while the musical used the novel for its basis rather than the film, he noted that Michaelson and Brunstetter shifted the time period twenty years to begin in
9702-407: Was replaced by Nick Cassavetes a year later. Early in development George Clooney was going play Noah, and Paul Newman the older Noah, but after Clooney watched some Paul Newman movies he went up to Newman and said he did not look like him. Cassavetes wanted someone unknown and "not handsome" to portray Noah; he chose Ryan Gosling for the role. Hayden Christensen was originally considered for
9801-520: Was very full of the story." Gosling commented that, "I think that it's pretty fair to say that we probably wouldn't have made the film if we hadn't found Rachel... Really, Allie drives the movie. It's her movie and we're in it. It all kind of depended on an actress." In comparison to the book, the role was extended. McAdams spent time in Charleston before filming to familiarize herself with the surroundings, and took ballet and etiquette classes. She had
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