Social support group interventions in people with dementia and mild cognitive impairment: a systematic review of the literature

Abstract Despite the large number of studies evaluating social support groups for people with dementia, there are no systematic reviews of current evidence.The aim of this study was to evaluate the effectiveness of social support group interventions for people with dementia and mild cognitive impairment.A systematic review was performed. We searched electronic databases for randomised controlled trials. Two reviewers worked independently to select trials, extract data and assess risk of bias. A total of 546 studies were identified of which two met the inclusion criteria. We were not able to pool data for further analyses, as the interventions tested in the studies meeting the inclusion criteria were too dissimilar in content.The first trial (n = 136) showed a benefit of early-stage memory loss social support groups for depression and quality of life in people with dementia.The second trial (n = 33) showed that post-treatment self-reported self-esteem was higher in the group receiving a multicomponent intervention of social support compared with that in the no intervention control group.Limited data from two studies suggest that support groups may be of psychological benefit to people with dementia by reducing depression and improving quality of life and self-esteem.These findings need to be viewed in light of the small number, small sample size and heterogeneous characteristics of current trials, indicating that it is difficult to draw any conclusions. More multicentre randomised controlled trials in social support group interventions for people with dementia are needed.������������

Literature review: brief interventions and childhood obesity

The literature review and its recommendations from the PHRU on brief interventions in childhood obesity.

Can Families Resist Managerial and Financial Revolutions? Swiss Family Firms in the Twentieth Century

The aim of this contribution is to highlight the long-term evolution of family capitalism in Switzerland during the twentieth century. We focus on 22 large companies of the machine, electrotechnical and metallurgy (MEM) sector whose boards of directors and general managers have been identified in five benchmark years across the twentieth century, which allows us to distinguish between family-owned and family-controlled firms. Our results show that family firms prevailed until the 1980s and thus contradict the dominance of 'managerial capitalism'. Although we observe a decline of family capitalism during the last decade of the century, the significant remaining presence of family firms in 2000 allows us to relativise the advent of investor capitalism.

Traumatic mitral valve injury after blunt chest trauma: a case report and review of the literature.

Mitral valve injury after blunt chest trauma is a rare occurrence. We recently admitted a patient with severe traumatic mitral regurgitation who was successfully treated with surgery. Review of the literature aimed at taking an inventory of cases of traumatic nonpenetrating mitral insufficiency that were operated on, since the earliest report in 1964. Eighty-two cases were found and analyzed allowing for a better understanding of the epidemiology, etiology, natural history, pathology, and treatment of this rare condition. The most common lesions reach the papillary muscles (PM), followed by the chordae and then the mitral valve leaflets. Among the 82 cases reported that have been treated with surgery, 57% required a valve replacement. More than half of the patients had a PM injury with a complete or partial rupture. When the rupture is complete, and especially when it involves the anterior PM, the clinical picture is most always acute with clinically important hemodynamic repercussions, often necessitating emergency surgery, most of the time with mitral valve replacement. One must always suspect traumatic mitral injury after blunt chest trauma. The most common mitral lesions affect the PM. The clinical course can be indolent or devastating, and most often requires urgent or delayed surgical treatment, either with mitral valve repair or replacement.

The girl from the Church of the Sacrament: a case of congenital syphilis in XVIII century Lisbon

Syphilis is a sexually or congenitally transmitted infectious disease with an impact on the health of human populations that has undergone important cycles in different countries and periods of history. Its presence was first diagnosed in Europe in the late XIV century. In Portugal, although there are various written records of the infection in the last centuries, there are rare references to it in archeological findings (mummified bodies are also rare in Portugal). The current study describes a probable case of congenital syphilis in an 18-month-old girl buried in the Church of the Sacrament in Lisbon. Her body, dating to the XVIII century, was found mummified together with dozens of others, still not studied. Symmetrical periostitis of the long bones, osteitis, metaphyseal lesions, left knee articular, and epiphyseal destruction, and a rarefied lesion with a radiological appearance compatible with Wimberger's sign all point to a diagnosis of congenital syphilis. The diagnosis of this severe form of the infection, possibly related to the cause of death in this upper-class girl, calls attention to the disease's presence in XVIII century Lisbon and is consistent with the intense mobilization at the time in relation to the risks posed by so-called heredosyphilis. It is the first case of congenital syphilis in a child reported in archeological findings in Portugal, and can be correlated with other cases in skeletons of adults buried in cemeteries in Lisbon (in the XVI to XVIII centuries) and Coimbra (XIX century). Finally, this finding highlights the need to study the entire series of mummified bodies in the Church of the Sacrament in order to compare the paleopathological findings and existing historical documents on syphilis, so as to expand the paleoepidemiological knowledge of this infection in XVIII century Lisbon.

Access to diagnosis and treatment of Chagas disease/infection in endemic and non-endemic countries in the XXI century

In this article, Médicos Sin Fronteras (MSF) Spain faces the challenge of selecting, piecing together, and conveying in the clearest possible way, the main lessons learnt over the course of the last seven years in the world of medical care for Chagas disease. More than two thousand children under the age of 14 have been treated; the majority of whom come from rural Latin American areas with difficult access. It is based on these lessons learnt, through mistakes and successes, that MSF advocates that medical care for patients with Chagas disease be a reality, in a manner which is inclusive (not exclusive), integrated (with medical, psychological, social, and educational components), and in which the patient is actively followed. This must be a multi-disease approach with permanent quality controls in place based on primary health care (PHC). Rapid diagnostic tests and new medications should be available, as well as therapeutic plans and patient management (including side effects) with standardised flows for medical care for patients within PHC in relation to secondary and tertiary level, inclusive of epidemiological surveillance systems.

El Jaufré i els seus patrons temàtics

El Jaufré és una obra que ens permet explicar, de manera molt il·lustrativa, la particular concepció medieval de la creació literària. L'autor del Jaufré, com els altres autors de ficció medievals, reescriuen les autoritats literàries i la tradició. No són ni creadors d'històries ni de referents nous. D'aquesta manera, per una banda, en comparar aquesta novel·la amb El cavaller del lleó de Chrétien de Troyes tenim un clar exemple de la reescriptura d'un text d'una autoritat com era l'autor francès de les novel·les artúriques. Per altra banda, el Jaufré també reflecteix la tradició i el folklore que servien de base temàtica a la ficció medieval i això ho podem comprovar si fem una anàlisi paral·lela, al mateix temps, amb els Lais de Maria de França. Amb tot, en paral·lel, podrem assenyalar algunes particularitats del Jaufré, que les té, en part degudes a la data més tardana de la seva escriptura i a l'origen cultural del seu escriptor (no pas francès, ni bretó), com poden ser les pinzellades de paròdia amb les quals descriu alguns fets de la narració que serien del tot impensables en el tractament que n'hagués fet un autor com Chrétien de Troyes o com pot ser la intenció crítica de la seva realitat política concreta.

Joan Ramis i La nouvelle Héloïse de Rousseau : una lectura rousseauniana de l'obra dramàtica de Ramis

Aquest estudi es proposa estudiar els vincles que hi ha entre La nouvelle Héloïse (1761) de Jean-Jacques Rousseau i l'obra dramàtica de Joan Ramis i Ramis, especialment la seva Lucrècia (1769), tot i les dificultats que la recepció de Rousseau va tenir en la Menorca il·lustrada. En aquest sentit, el gruix del treball es dedica als elements que tenen en comú les obres de referència, pel que fa al tractament literari dels temes centrals, com ara el que vehicula la sensibilitat preromàntica que irromp en el panorama creatiu de l'Europa del moment, més enllà de les propostes estrictament formals i de contingut del neoclassicisme, i també quant als motius i la intencionalitat dels dos autors.

Una petita novel·la en prosa en l'àmbit del Renaixement català : Paràmetres teoricoliteraris renaixentistes que expliquen la paròdia de l'estil culte de Les estil·lades y amoroses lletres trameses per Berthomeu Sirlot a la sua senyora, y per ella a ell

Aquest treball pretén esbrinar fins a quin punt se segueixen els criteris teòrics establerts pels autors catalans del Renaixement en la literatura catalana de ficció del segle XVI. Per examinar l'adequació als models proposats pels humanistes he triat una obra anònima de caràcter paròdic escrita en forma d'epístoles entre dos llauradors de l'Horta de València, Les estil·lades y amoroses lletres trameses per Berthomeu Sirlot a la sua senyora, y per ella a ell. El procediment de treball consistirà a analitzar com els teòrics del Renaixement de l'àrea catalanoparlant van interpretar i assimilar en la seva obra alguns dels conceptes més importants de les poètiques i les retòriques dels clàssics grecs i llatins (els principis d'imitació, decòrum, harmonia i ordre), en aquest cas Aristòtil i Horaci, i si l'autor anònim de Les estil·lades y amoroses lletres els va tenir en compte a l'hora de compondre la seva obra. A la vegada, en tractar-se d'una paròdia satírica amb clara voluntat humorística, aquesta anàlisi també pot donar compte de quina opinió tenien els intel·lectuals catalans del Renaixement sobre la ficció i l'humor.