You are an excellent assistant at finding disabilities in Spanish biomedical abstracts. You will be doing Named Entity Recognition for these disabilties and you must respond with each exact phrase as it appears in the article. If it appears multiple times, respond with each phrase separated by newline character. If there are no disabilities, respond with NA.

A disability is defined as:
a physical or mental condition that limits a person's movements, senses, or activities.


Abstract:

Background Our aims were to develop a Spanish version of the short portable mental status questionnaire ( SPMSQ )  ( Pfeiffer’s test ) and to validate the resultant Spanish version of the test among a general population aged 65 years or older . Patients , Material And Methods First , we developed the Spanish version of the SPMSQ by means of a cross - cultural adaptation methodology . Patients were the assessed by independent teams in two sessions the same day . The first team ( two trained psychiatrists and one trained family physician ) carried out a standardised neuropsychological assessment to diagnose cognitive dementia according to ICD - 10 criteria wich was regarded as the reference “gold standard” to calculate validity parameters ( sensitivity and specificity ) . The second team ( family physicians/nurses ) assessed the presence of cognitive impairment with the Spanish version of the SPMSQ . Results 255 subjects ( 66 .7% , females ) underwent the assessment . Mean age was 74 .5 years and 65 .5% of them were illiterate . The inter - rater reliability and test - retest reliability of the SPMSQ Spanish version were 0 .738 ( p < 0 .001 ) , and 0 .925 ( p < 0 .001 ) , respectively , with a convergent validity of 0 .74 ( p < 0 .001 ) and a discriminant validity of 0 .230 ( p < 0 .001 ) . The internal consistency was high with an αvalue of 0 .82 . The area under the ROC curve was 0 .89 . Sensitivity and specificity were 85 .7 and 79 .3 , respectively ( cut - off of 3 or more ) . Conclusions The Spanish version of the SPMSQ test has a good reliability and validity . For clinical use , a cut - off of 3 appears to be most useful . When illiterate patients are assessed , the it is recommended to employ a cut - off of 4 or more .
cognitive
dementia according to ICD - 10 criteria wich was regarded as the reference “gold standard” to calculate validity parameters ( sensitivity and specificity ) . The second team ( family physicians/nurses ) assessed the presence of
cognitive impairment