Repetitive transcranial magnetic stimulation: a putative add-on treatment for major depression in elderly patients.

Repetitive transcranial magnetic stimulation (rTMS) is a recent putative treatment for affective disorders. Several studies have demonstrated antidepressant effects of rTMS in younger patients; we aimed to assess its effect in older outpatients with treatment-resistant major depression. Twenty-four outpatients (mean age=62 years, S.D.=12) with major depression were randomized for sham or real stimulation and received 10 daily rTMS sessions (20 Hz, 2-s trains, 28-s intertrain intervals, 100% of motor threshold) in addition to the antidepressant medication. For sham stimulation, the coil was tilted 90 degrees. Depression severity was assessed using the Hamilton Depression Rating Scale, the Beck Depression Inventory, items from the NIMH self-rated symptom scale, and a visual analog depression scale. Mini-Mental Status Examination performance, memory, and executive and attentional functions were measured to control for cognitive side effects. Depression ratings revealed significant antidepressant effects within 2 weeks in both sham and real stimulation groups; however, there were no between-group differences. Treatment with rTMS was safe; adverse events were rare and not more prevalent in either group, and cognitive assessment did not show any deterioration. We were unable to demonstrate any additional antidepressant effects of real stimulation in elderly patients with treatment-resistant major depression. Therapeutic effects of rTMS in this clinically challenging patient group remain to be demonstrated.

Short-term response of the Ca cycle of a montane forest in Ecuador to low experimental CaCl 2 additions

The tropical montane forests of the E Andean cordillera in Ecuador receive episodic Sahara-dust inputs particularly increasing Ca deposition. We added CaCl2 to isolate the effect of Ca deposition by Sahara dust to tropical montane forest from the simultaneously occurring pH effect. We examined components of the Ca cycle at four control plots and four plots with added Ca (2 × 5 kg ha–1 Ca annually as CaCl2) in a random arrangement. Between August 2007 and December 2009 (four applications of Ca), we determined Ca concentrations and fluxes in litter leachate, mineral soil solution (0.15 and 0.30 m depths), throughfall, and fine litterfall and Al concentrations and speciation in soil solutions. After 1 y of Ca addition, we assessed fine-root biomass, leaf area, and tree growth. Only < 3% of the applied Ca leached below the acid organic layer (pH 3.5–4.8). The added CaCl2 did not change electrical conductivity in the root zone after 2 y. In the second year of fertilization, Ca retention in the canopy of the Ca treatment tended to decrease relative to the control. After 2 y, 21% of the applied Ca was recycled to soil with throughfall and litterfall. One year after the first Ca addition, fine-root biomass had decreased significantly. Decreasing fine-root biomass might be attributed to a direct or an indirect beneficial effect of Ca on the soil decomposer community. Because of almost complete association of Al with dissolved organic matter and high free Ca2+ : Al3+ activity ratios in solution of all plots, Al toxicity was unlikely. We conclude that the added Ca was retained in the system and had beneficial effects on some plants.

Gedanken zur Gerechtigkeit, Festschrift für Hans Giger zum 80. Geburtstag

Ein hochaktueller Band ist zum 80. Geburtstag des international anerkannten Gelehrten Hans Giger aus der Taufe gehoben worden. Wissenschafter in- und ausländischer Universitäten, des Max-Planck-Institutes in Hamburg, a. Bundespräsident der Schweiz, Bundesrichter, Kassationsgerichtspräsident sowie Vertreter von Wirtschaft, Politik, Verwaltung und Medien veranschaulichen ihre Gedanken zur Gerechtigkeit. Beleuchtet werden etwa Themen wie Lohngerechtigkeit und Wirtschaftsethik, Zuteilung von Spenderorganen, Gerechtigkeit in der Strafjustiz, Chancengleichheit in der Bildung, Sport als Weg zu mehr Gerechtigkeit, Biowissenschaften als ethische Provokation, der Preis der sozialen Gerechtigkeit, Sachgerechtigkeit und Regelungsflut, Ungerechtigkeit durch Mainstream-Denken, Quellen des Rechtsbewusstseins u.a.m. Mit 23 fesselnden Beiträgen und einem Geleitwort von Bundesrätin Doris Leuthard liegt ein Werk vor, das in eindrücklicher Weise das zeitgenössische Gerechtigkeitsempfinden reflektiert.