Are we teaching our students what they need to know about ageing? Results from the National Survey of Undergraduate Teaching in Ageing and Geriatric Medicine

Introduction - Learning about ageing and the appropriate management of older patients is important for all doctors. This survey set out to evaluate what medical undergraduates in the UK are taught about ageing and geriatric medicine and how this teaching is delivered. Methods – An electronic questionnaire was developed and sent to the 28/31 UK medical schools which agreed to participate. Results – Full responses were received from 17 schools. 8/21 learning objectives were recorded as taught, and none were examined, across every school surveyed. Elder abuse and terminology and classification of health were taught in only 8/17 and 2/17 schools respectively. Pressure ulcers were taught about in 14/17 schools but taught formally in only 7 of these and examined in only 9. With regard to bio- and socio- gerontology, only 9/17 schools reported teaching in social ageing, 7/17 in cellular ageing and 9/17 in the physiology of ageing. Discussion – Even allowing for the suboptimal response rate, this study presents significant cause for concern with UK undergraduate education related to ageing. The failure to teach comprehensively on elder abuse and pressure sores, in particular, may be significantly to the detriment of older patients.

Desarrollo de estrategias de base en la península de Azuero, Panamá.

Introducción Este artículo examina la infraestructura económica y social de Playa, una comunidad rural en la Península de Azurero, Panamá. Evalúa además, la forma en que la comunidad ha respondido para articularse a los mercados internacionales de mariscos. El análisis indica que los residentes utilizan una variedad de estrategias, cuya flexibilidad les permite promover los intereses locales y lidiar con las fuerzas externas a la comunidad, Delineado el modo de adaptación de playa, este es un complejo sistema de lazos sociales y una estrategia de participación de múltiples actividades económicas las cuales han facilitado un modesto desarrollo sostenible y han servido como paliativos de los efectos de la globalización…

Lost in translation? The potential psychobiotic Lactobacillus rhamnosus (JB-1) fails to modulate stress or cognitive performance in healthy male subjects

Background: Preclinical studies have identified certain probiotics as psychobiotics a live microorganisms with a potential mental health benefit. Lactobacillus rhamnosus (JB-1) has been shown to reduce stress-related behaviour, corticosterone release and alter central expression of GABA receptors in an anxious mouse strain. However, it is unclear if this single putative psychobiotic strain has psychotropic activity in humans. Consequently, we aimed to examine if these promising preclinical findings could be translated to healthy human volunteers. Objectives: To determine the impact of L. rhamnosus on stress-related behaviours, physiology, inflammatory response, cognitive performance and brain activity patterns in healthy male participants. An 8 week, randomized, placebo-controlled, cross-over design was employed. Twenty-nine healthy male volunteers participated. Participants completed self-report stress measures, cognitive assessments and resting electroencephalography (EEG). Plasma IL10, IL1β, IL6, IL8 and TNFα levels and whole blood Toll-like 4 (TLR-4) agonist-induced cytokine release were determined by multiplex ELISA. Salivary cortisol was determined by ELISA and subjective stress measures were assessed before, during and after a socially evaluated cold pressor test (SECPT). Results: There was no overall effect of probiotic treatment on measures of mood, anxiety, stress or sleep quality and no significant effect of probiotic over placebo on subjective stress measures, or the HPA response to the SECPT. Visuospatial memory performance, attention switching, rapid visual information processing, emotion recognition and associated EEG measures did not show improvement over placebo. No significant anti-inflammatory effects were seen as assessed by basal and stimulated cytokine levels. Conclusions: L. rhamnosus was not superior to placebo in modifying stress-related measures, HPA response, inflammation or cognitive performance in healthy male participants. These findings highlight the challenges associated with moving promising preclinical studies, conducted in an anxious mouse strain, to healthy human participants. Future interventional studies investigating the effect of this psychobiotic in populations with stress-related disorders are required.

Report on the scientific results of the voyage of H.M.S. Challenger during the years 1873-76 under the command of Captain George S. Nares ... and the late Captain Frank Tourle Thomson, R.N.

Sold by: London, Eyre & Spottiswoode; Edinburgh, A. & C. Black; Dublin, Hodges, Figgis & co.--Narrative v. 1-2, Physics and chemistry v. 1, Botany v. 1-2, Zoology v. 1-6: London, Longmans & co. [etc.]; Dublin, A. Thom & co. [etc.]--Deep-sea deposits, and Summary v. 1-2; Edinburgh, J. Menzies & co.

Sergio R. Castaño, Los principios políticos de Santo Tomás en entredicho, una confrontación con Aquinas, John Finnis, Ediciones del Instituto de Filosofía del Derecho – Universidad Católica de Cuyo, Bariloche, 2008, 155 p.

Fil: Salomón Martínez, José Agustín.

A.A.V.V.: Reason, morality, and law. The philosophy of John Finnis, J. Keown & R.P. George (eds.), Oxford, Oxford University Press, 2013, 616 pp.

Fil: Massini Correas, Carlos I.. Universidad de Mendoza

Description and illustrations of Mn deposits from the John Murray Expedition (R/V Mabahiss)

During the cruise of the" Mabahiss" from Zanzibar to Colombo at Station 133 (1° 25' 54" S. to 1° 19' 42" S. and 66° 34' 12" E. to 66° 35' 18" E.) several small rock fragments were brought up in the Monegasque net; and, since at this position there is no possibility of the material being transferred by floating Ice, these specimens are of some interest as samples of oceanic rock foundations. All the rocks have a black appearance, but in the majority this skin is of negligible thickness. Exceptionally, however, it may attain to 1/3 in. (St. 133, 8), and then the specimens are rounded. The coating is made of dark opaque manganese material. At Station 166 one or two similar specimens of angular basalt were found in the trawl consisting mainly of manganese nodules.